Mario Augusto Hernandez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2010-00567 Issued in NC

Practice address

18509 Statesville Rd Ste B1
Cornelius, NC 28031-5703

Phone

(704) 237-3421

NPI assigned

Dec 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Wellmont Physician Services Inc

  • Internal Medicine Physician
  • Big Stone Gap, VA
  • NPI 1619095403

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1700060092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18509 STATESVILLE RD STE B1",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315703",
            "telephone_number": "704-237-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18509 STATESVILLE RD STE B1",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315703",
            "telephone_number": "704-237-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIO",
        "middle_name": "AUGUSTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16949",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101244562",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2010-00567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915310",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100062480",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthstarr Chiropractic Inc.
• Ashley Heffernan, DPT
• Jocelyn S Helein, SLP
• Helia Health PLLC
• Lucas Helms
• Tatyana Hickman
• Mark Lowell Higdon, D.O.
• Hill Orthodontics, P.a.
• Brett Joseph Hill, DDS
• Julie Michele Hill, MSW, LCSW, OSW-C

• Family Medicine Physician in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.