DR. JESUS HERNANDEZ JR. M.D.
NPI 1104860030
Emergency Medicine - Emergency Medical Services in Clare, MI

Active since June 14, 2006

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jesus Hernandez Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESUS HERNANDEZ JR. M.D. (NPI 1104860030) is an individual emergency medical services provider in Clare, Michigan, licensed in Michigan (048887) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104860030
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. JESUS HERNANDEZ JR.Credential: M.D.
Location Address104 W 6TH STClare, MI 48617-1409
Mailing Address2000 Green Rd, Suite 300Ann Arbor, MI 48105-1598 · (734) 995-3764
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 11, 2011
NPI 1104860030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in MI · 048887
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
104 W 6TH ST, Clare, MI 48617

Other Identifiers 5

OtherJH048887MI · Blue Shield
Medicaid102865106MI
Medicaid104081910MI
Medicare PINM60660026MI
Medicare UPINA78934

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
104 W 6TH ST
CLARE, MI 48617
Radiology (Diagnostic Radiology)
104 W 6TH ST
CLARE, MI 48617
Emergency Medicine
104 W 6TH ST
CLARE, MI 48617
Emergency Medicine (Emergency Medical Services)
104 W 6TH ST
CLARE, MI 48617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesus Hernandez's NPI number?

The NPI number for Jesus Hernandez is 1104860030. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Jesus Hernandez located?

Jesus Hernandez practices at 104 W 6th St, Clare, MI 48617. The listed phone number is (989) 386-9951.

What is Jesus Hernandez's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Jesus Hernandez was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.