MR. JOSEPH P FERNANDO M.D.
NPI 1669559605
Pediatrics in Poplar Bluff, MO

NPI Status: Active since November 01, 2006

Contact Information

2340 KATY LN
SUITE 120
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 776-7393
Fax: (573) 776-7396

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  • Individual
  • Male
  • Pediatrics

About JOSEPH FERNANDO

This page provides the complete NPI Profile along with additional information for Joseph Fernando, a pediatrician established in Poplar Bluff, Missouri with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1669559605 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X with license number 112068 (MO). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1669559605
Provider Name
MR. JOSEPH P FERNANDO M.D.
Gender
Male
Entity Type
Individual
Location Address
2340 KATY LN SUITE 120 POPLAR BLUFF, MO 63901
Location Phone
(573) 776-7393
Location Fax
(573) 776-7396
Mailing Address
2340 KATY LN SUITE 120 POPLAR BLUFF, MO 63901
Mailing Phone
(573) 776-7393
Mailing Fax
(573) 776-7396
Is Sole Proprietor?
No
Enumeration Date
11-01-2006
Last Update Date
05-09-2016
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A pediatrician like Joseph Fernando is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
112068
License State
MO
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
208897603MEDICAID (05)MO 
G55039MEDICARE UPIN (02)MO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669559605
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291051860
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 0 + 5 + 1 + 8 + 6 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1669559605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861782864VIRTUAL URODYNAMICS LLC
Organization
Clinic/Center (Medical Specialty)2340 KATY LN
POPLAR BLUFF, MO 63901
(573) 776-7393
1548793011 CARRERA WILLIAMS
Individual
Nurse Practitioner (Family)2340 KATY LN
POPLAR BLUFF, MO 63901
(573) 776-7393
1356849616HEARTLAND WOMEN'S HEALTHCARE MO PC
Organization
Clinic/Center (Rural Health)2340 KATY LN
POPLAR BLUFF, MO 63901
(618) 997-5266
1184686925WOMENS HEALTH SPECIALISTS, PC
Organization
Obstetrics & Gynecology2340 KATY LN
POPLAR BLUFF, MO 63901
(573) 776-7393
1467047738WOMENS HEALTH SPECIALISTS, PC
Organization
Clinic/Center (Rural Health)2340 KATY LN
POPLAR BLUFF, MO 63901
(573) 290-3293
1972112720MRS. AMY ELIZABETH RICHARDSON WHNP-BC
Individual
Nurse Practitioner (Women's Health)2340 KATY LN
POPLAR BLUFF, MO 63901
(573) 290-3293
1700514692LABONE LLC
Organization
Clinical Medical Laboratory2340 KATY LN
POPLAR BLUFF, MO 63901
(573) 776-7393
1992777957MRS. CARRIE LYNN CARDA MD
Individual
Obstetrics & Gynecology2340 KATY LN
POPLAR BLUFF, MO 63901
(573) 776-7393

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669559605, enumerated in the NPI registry as an "individual" on November 01, 2006

The provider is located at 2340 Katy Ln Suite 120 Poplar Bluff, Mo 63901 and the phone number is (573) 776-7393

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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