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Contact Information

JOSS D FERNANDEZ, MD
1605 E BROADWAY STE 210
COLUMBIA, MO65201-8023
 Phone: 573-815-4130
 Fax: 573-815-4135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for JOSS D FERNANDEZ · (Male)

NPI Number 1235173642
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 09/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 37854
  • MO License # 2012006733
  • TN License # 39993
  • AR Medicaid 162992001
  • MS Medicaid 09016196
  • TN Medicaid 3825158
  • TN Other 62-1719735 TAX ID #
Hospital affiliation(s)
  • BOONE HOSPITAL CENTER - (Acute Care)
    1600 E BROADWAY
    COLUMBIA, MO 65201
  • BOTHWELL REGIONAL HEALTH CENTER - (Acute Care)
    601 E 14TH ST
    SEDALIA, MO 65302
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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