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NICHOLAS EMILE FERNANDO PA-C, NPI 1023010162

Physician Assistant in JEFFERSON, SD

Last Updated on : Dec 07,2017

About NICHOLAS EMILE FERNANDO (NPI 1023010162)


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 16 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 5 years ago.

1023010162 NPI Information

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

NICHOLAS EMILE FERNANDO (NPI 1023010162) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 363AM0700X Physician Assistant, Medical 0401 SD

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
47952 MEDICARE ID-Type Unspecified (04) IA
6039 MEDICARE ID-Type Unspecified (04) SD
I0524006 MEDICARE PIN (08) IA
S64517 MEDICARE UPIN (02)

NICHOLAS EMILE FERNANDO (NPI 1023010162) Office Location

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FAQs

Whose NPI Number is 1023010162?

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.

NPI number meaning

Field Name Field Value
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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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