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SHANE C HERNESMAN MD PA
NPI 1164545620
Family Medicine in Cocoa, FL

Active since April 09, 2007
505 DELANNOY AVE, COCOA, FL 32922(321) 631-4940(321) 631-4941 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane C Hernesman Md Pa NPPES

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

SHANE C HERNESMAN MD PA (NPI 1164545620) is a healthcare organization registered as a family medicine in Cocoa, Florida and active in the NPI registry since April 2007. The organization lists Shane C Hernesman, President, as its authorized official.

NPPES Registry Identity

NPI1164545620
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHANE C HERNESMAN MD PA
Location Address505 DELANNOY AVECocoa, FL 32922-7813
Mailing Address505 Delannoy AveCocoa, FL 32922-7813 · (321) 631-4940 · Fax (321) 631-4941
Phone(321) 631-4940
Fax(321) 631-4941
Organization SubpartNo
Authorized OfficialShane C HernesmanPresident · (321) 631-4940
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164545620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME83457
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
505 DELANNOY AVE, Cocoa, FL 32922
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. JONATHAN C LEE AP
Acupuncturist
505 DELANNOY AVE
COCOA, FL 32922
Brevard County (321) 454-9259

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 Shane C Hernesman MD PA's NPI number?

The NPI number for Shane C Hernesman MD PA is 1164545620. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Shane C Hernesman MD PA located?

Shane C Hernesman MD PA is located at 505 Delannoy Ave, Cocoa, FL 32922. The listed phone number is (321) 631-4940.

What is Shane C Hernesman MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shane C Hernesman MD PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.