NPIMap

Individual provider Active NPI

Marcia Hernandez, D.O.

  • Gynecologic Oncology Physician
  • Camden, NJ
National Provider Identifier
1902177074
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
2016022154 Issued in MO
Practice address
3 Cooper PLZ Ste 201
Camden, NJ 08103-1438
Phone
(856) 342-2959
NPI assigned
Jan 22, 2012
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB09043200 NJ
Gynecologic Oncology Physician 207VX0201X 2016022154 MO Primary

Addresses

Primary practice location

3 Cooper PLZ Ste 201
Camden, NJ 08103-1438

Mailing address

3 Cooper PLZ Ste 201
Camden, NJ 08103-1438
Phone (856) 342-2959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140401001416 NJ Practitioner - Obstetrics/Gynecology 4385875541 Reassigns benefits to 1 organization
I20160830001720 MO Practitioner - Gynecological Oncology 4385875541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1605 Martin Springs Dr
Suite 110
Rolla, MO 65401-2982
Phone (573) 458-6610

2115 S Fremont Ave
1100 MC Womens Oncology Whiteside
Springfield, MO 65804-2239
Phone (417) 820-3554

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jan 26, 2020 Accepting new patients
Cooper Obstetrical Associates, PC Obstetrics & Gynecology CurrentSince Nov 2, 2013 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 16, 2016 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 16, 2016 Accepting new patients
University Urogynecology Association, PC Obstetrics & Gynecology Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 110
Rolla, MO 65401
Phone (573) 458-6300

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 1100
Springfield, MO 65804
Phone (417) 820-3554

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

3 Cooper Plz
Ste 201
Camden, NJ 08103
Phone (856) 342-2959

Interoperability endpoints

  • Direct secure messaging: mhernandez769344@directc.mercy.net

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1327190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1902177074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ STE 201",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ STE 201",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARCIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-22",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB09043200",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MO",
            "license": "2016022154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.