Frederico Fernandez, MD. PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.21001 Issued in AL

Legal business name

FREDERICO FERNANDEZ, MD. PC

Practice address

2804 Greenhill Blvd NW Ste 101
Fort Payne, AL 35968-3067

Phone

(256) 845-0023

Fax

(256) 845-0238

NPI assigned

Sep 4, 2009

Last updated

Sep 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frederico Yambao Fernandez, M.D.NPI 1972594505

Title

President

Phone

(256) 845-0023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederico Yambao Fernandez, M.D.

  • Internal Medicine Physician
  • Fort Payne, AL
  • NPI 1972594505
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1710110945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 GREENHILL BLVD NW STE 101",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683067",
            "telephone_number": "256-845-0023",
            "fax_number": "256-845-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 GREENHILL BLVD NW STE 101",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683067",
            "telephone_number": "256-845-0023",
            "fax_number": "256-845-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICO FERNANDEZ, MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "FREDERICO",
        "authorized_official_middle_name": "YAMBAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-845-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.21001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Payne RHC Corp (DeKalb Clinic)
• Fort Payne Urgent Care, LLC
• Janna Foshee, MS, CCC-SLP
• Ora Gwendolyn Foster, LCSW
• Tonya Leigh Fox, CRNA
• Katelyn Freeman, MS CCC/SLP
• Ft Payne Careplus, LLC
• FTP MRI Radiology, PLLC
• Gadsden Hearing Aid, Inc. (Wright Hearing Center)
• Lyza Tennille Gaines, CRNP

• Internal Medicine Physician in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.