Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Luis Hernandez, PA

Individual provider Surgical Technologist · NPI 1417251372

Mr. Luis Hernandez, PA is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2010, 16 years ago. Practices with Tulsa Bone and Joint Associates PC, a 91-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
16
Licensed in
OK
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4802 S 109th East Ave
Tulsa, OK 74146-5822
Phone: (918) 392-1400
Fax: (918) 392-1488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1997 (OK)
Surgical Technologist Taxonomy 246ZS0410X

Record details

NPI number1417251372
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2011
Last updated in NPPESJanuary 14, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Tulsa Bone And Joint Associates Pc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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