Individual provider Active NPI

Oscar Gonzalo Hernandez-Cano, M.D.

  • Pulmonary Disease Physician
  • Winchester, TN
National Provider Identifier
1649266453
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD45651 Issued in TN
Practice address
1381 S College St
Winchester, TN 37398-2414
Phone
(931) 901-2045
NPI assigned
Sep 27, 2005
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME47581 FL
Pulmonary Disease Physician 207RP1001X MD45651 TN Primary

Addresses

Primary practice location

1381 S College St
Winchester, TN 37398-2414

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

155 Hospital Rd
Suite C
Winchester, TN 37398-2494
Phone (931) 967-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000359 TN Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7012986573 Reassigns benefits to 3 organizations
Practice locations: Tullahoma, TN

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Maryland School of Medicine, 1973
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

185 Hospital Rd
Winchester, TN 37398-2404
Phone (931) 434-8155

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD45651TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Lung Specialists Pulmonary Disease CurrentSince Sep 3, 2017 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Sep 1, 2020 Accepting new patients
Amg-Southern Tennessee LLC Current Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Apr 1, 2013 Accepting new patients
Amg Southern Tennessee, LLC Pulmonary Disease CurrentSince Apr 1, 2013 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Sep 1, 2020 Accepting new patients
Prager Simon & Associates LLP Past Accepting new patients
Professional Healthcare Associates LLC Pulmonary Disease Past Accepting new patients

Locations

300 S Main St
Estill Springs, TN 37330
Phone (931) 649-5139

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

1381 S College St
Ste 3
Winchester, TN 37398

155 Hospital Rd
Ste C
Winchester, TN 37398
Phone (931) 962-3297

185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: oscar.hernandez@ahp.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1649266453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 S COLLEGE ST",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982414",
            "telephone_number": "931-901-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Hospital Rd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373982494",
            "country_code": "US",
            "telephone_number": "931-967-8111",
            "fax_number": "931-967-8126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ-CANO",
        "first_name": "OSCAR",
        "middle_name": "GONZALO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME47581",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "MD45651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.