MR. JOSEPH P FERNANDO M.D.
NPI 1669559605
Pediatrics in Poplar Bluff, MO

Q: What is Joseph Fernando's NPI number?

The NPI number for Joseph Fernando is 1669559605. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Joseph Fernando's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Fernando was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 01, 2006

2340 KATY LN, SUITE 120, POPLAR BLUFF, MO 63901(573) 776-7393(573) 776-7396 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Joseph P Fernando M.d. NPPES

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

MR. JOSEPH P FERNANDO M.D. (NPI 1669559605) is an individual pediatrics provider in Poplar Bluff, Missouri, licensed in Missouri (112068) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1669559605

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMR. JOSEPH P FERNANDOCredential: M.D.

Location Address2340 KATY LN, SUITE 120Poplar Bluff, MO 63901-2300

Mailing Address2340 Katy Ln, Suite 120Poplar Bluff, MO 63901-2300 · (573) 776-7393 · Fax (573) 776-7396

Phone(573) 776-7393

Fax(573) 776-7396

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateMay 9, 2016

✔ NPI 1669559605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 112068

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2340 KATY LN, Poplar Bluff, MO 63901

Open in Google Maps ↗

Other Identifiers 2

Medicaid208897603MO

Medicare UPING55039MO

Other Providers at the Same Location NPPES 8

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

STACEY DIANE STARK FNP

Nurse Practitioner (Family)