Provider Demographics
NPI:1770535619
Name:FERNANDES, JOSEPH AMERICO M JR (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH AMERICO
Middle Name:M
Last Name:FERNANDES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOSE AMERICO
Other - Middle Name:M
Other - Last Name:FERNANDES FILHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:988435 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8435
Mailing Address - Country:US
Mailing Address - Phone:402-559-8600
Mailing Address - Fax:402-559-5010
Practice Address - Street 1:988435 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-8435
Practice Address - Country:US
Practice Address - Phone:402-559-8600
Practice Address - Fax:402-559-5010
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040174252084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEBF7445580OtherDEA