Thomas Hernandez in Dixon - Sports Medicine

Thomas Hernandez - NPI 1851513089

Thomas Hernandez is a Sports Medicine in Dixon, Illinois. Thomas Hernandez practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Thomas Hernandez is 1851513089. The last update date is 2018-08-23.

Thomas Hernandez's current location address is 215 E 1st St Ste 326, Dixon, Illinois. You can contact this provider via phone number 8152855800 and fax number 8152855691. The mailing address for Thomas Hernandez is 215 E 1st St Ste 326, Dixon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Hernandez
Address 215 E 1st St Ste 326, Dixon, Illinois
Phone Number 8152855800
Fax Number 8152855691
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1851513089
Provider Enumeration Date 2007-05-03
Last Updated Date 2018-08-23

Provider Mailing Address Detail

Address 215 E 1st St Ste 326
City Dixon
State Illinois (IL)
Post Code 610213190
Phone Number 8152855800
Fax Number 8152855691

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 036-129768
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
BM6733807-R49 GA TEMP RESIDENCY TRAINING #
36129768 IL --
381220030 IL MEDICARE

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FAQs about Thomas Hernandez

What is the unique 10-digit identification code issued to Thomas Hernandez by the Centers for Medicare & Medicaid Services?

The Thomas Hernandez has been assigned the NPI (National Provider Identifier) 1851513089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Thomas Hernandez?

The Thomas Hernandez is physically situated at 215 E 1St St Ste 326, in the city of Dixon, state of IL, with the postal code 610213190.

What is Thomas Hernandez's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Thomas Hernandez's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.

When was the Thomas Hernandez's 1851513089 issued?

The Thomas Hernandez's 1851513089 was issued on 2007-05-03.

When was the information regarding Thomas Hernandez, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Thomas Hernandez, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-08-23.

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