Physician Assistant in JEFFERSON, SD
Last Updated on : Dec 07,2017
NICHOLAS EMILE FERNANDO is a Physician Assistant provider in JEFFERSON, United States. His medical specialization is Physician Assistant with a focus in Medical.
1023010162 is NPI number of NICHOLAS EMILE FERNANDO.
NICHOLAS EMILE FERNANDO's primary taxonomy code based on NPI Lookup is 363AM0700X with license number 0401. This taxonomy code refers to Physician Assistant.
NICHOLAS EMILE FERNANDO has more than 17 years of experience.
NICHOLAS EMILE FERNANDO current practice location address is 917 WYNSTONE RD, JEFFERSON, SD. NICHOLAS EMILE FERNANDO can be reached out via phone at 605-422-3102 and via fax at 605-422-3103 .
You can also correspond with NICHOLAS EMILE FERNANDO through mail at mailing address 101 TOWER RD, DAKOTA DUNES, SD, United States. Mailing address contact number is 605-217-7246.
The enumeration date of NICHOLAS EMILE FERNANDO is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 6 years ago.Basic NPI information of NICHOLAS EMILE FERNANDO (NPI 1023010162) is provided below.
Name | NICHOLAS EMILE FERNANDO |
---|---|
National Provider Id (NPI) | 1023010162 |
Entity Type | Individual |
Gender | M |
Credential | PA-C |
Practice Address | 917 WYNSTONE RD,
JEFFERSON, SD, United States |
Practice Telephone | 605-422-3102 |
Practice Fax Number | 605-422-3103 |
Mailing Address | 101 TOWER RD ,
SUITE 103
DAKOTA DUNES, SD, United States |
Mailing Telephone | 605-217-7246 |
Mailing Fax Number | 605-217-4878 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 07-Dec-2017 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 363AM0700X | Physician Assistant, Medical | 0401 | SD |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1003913013 | A & K PHYSICAL THERAPY | Physical Therapist | 663 DODGE AVE,
JEFFERSON, LA, United States |
20-Sep-2006 |
1740700954 | A CALL TO WORSHIP MINISTERIAL ALLIANCE, INC. | Public Health or Welfare | PO BOX 857,
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20-Jun-2017 |
1619451317 | A PATHWAY TO LIFE COUNSELING SERVICES LLC | Counselor | PO BOX 74653,
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18-Sep-2018 |
1477234011 | JENNA AALSMA | Case Manager/Care Coordinator | 2464 WINTHROP DR,
JANESVILLE, WI, United States |
27-Jul-2023 |
1548739725 | TAMMY LYNETTE ABELL | Registered Nurse, Flight | 182 9TH ST,
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17-Nov-2018 |
1538417670 | PAMELA ABRAHAMSEN | Counselor, Professional | 20 SHERMAN AVE E,
FORT ATKINSON, WI, United States |
21-Aug-2012 |
1932752763 | DUSTIN PAUL ABSHER | Physical Therapist | 792 OAKWOOD RD,
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21-Jul-2019 |
1710126800 | ACCELERATED NURSING SOLUTIONS, INC | Home Infusion | 46 PLANTATION DR,
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12-Feb-2009 |
1538411921 | ACCESS HEALTH LOUISIANA | Clinic/Center, Federally Qualified Health Center (FQHC) | 240 RIVERDALE DR,
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09-Oct-2012 |
1205959061 | HEATHER L ACTON | Pharmacist | 508 HICKORY LANE,
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09-Apr-2007 |
1043481864 | HEATHER P. ADAMS | Speech-Language Pathologist, | 101 RIVER RD STE 112,
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19-Mar-2008 |
1922753433 | LAUREN ELIZABETH ADAMS | Speech-Language Pathologist, | 510 PANTHER DR,
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14-Feb-2022 |
1851870075 | MELANIA KAY ADAMS | Licensed Vocational Nurse | PO BOX 901,
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08-Aug-2018 |
1578226841 | SHANA WATKINS ADAMS | Counselor, Addiction (Substance Use Disorder) | 709 MILL ST,
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14-Oct-2021 |
1063640183 | SUMA JOHN ADAPPUR | Registered Nurse | 248 MAGGILU CT,
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26-Jun-2009 |
1609846914 | SARAH ADDISON | Counselor, Professional | 138 JASON POND WAY,
JEFFERSON, GA, United States |
26-Jan-2006 |
1356040489 | DEBORAH ADEBISI | Nurse Practitioner, Psych/Mental Health | 88 WHISTLING DR,
JEFFERSON, GA, United States |
27-Feb-2023 |
1962610865 | ANNA KRISTINA ADELSON | Occupational Therapist, Pediatrics | 117 MANNING ST UNIT 1,
JEFFERSON, MA, United States |
21-May-2007 |
1184253478 | KARA LYNN ADKINS | Pharmacist | 7232 JUSTIN WAY,
MENTOR, OH, United States |
07-Apr-2020 |
1043687130 | ADVANCED NERVE SPECIALISTS, LLC | Specialist/Technologist, Other, Electroneurodiagnostic | 337 BROOKLYN AVE,
JEFFERSON, LA, United States |
25-Aug-2015 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1023010162 is the NPI number of NICHOLAS EMILE FERNANDO.
What is the specialty for NICHOLAS EMILE FERNANDO?The Specialty of NICHOLAS EMILE FERNANDO is Physician Assistant.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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