CHARLES HENDRICKS (NPI# 1174551394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174551394 |
| Entity Type | Individual |
| Full Name | CHARLES HENDRICKS |
| Credential | MD |
| Practice Address |
17 Hancock St Bar Harbor ME 04609-1714 |
| Practice Telephone | 2072888615 |
| Practice Fax Number | 2072882448 |
| Mailing Telephone | 2072888615 |
| Mailing Fax Number | 2072882448 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 012628 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 033411 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700997483 | Charles Mark Hendricks | Chiropractor | 112 North Main, Ashland City, TN 37015 | 2006-08-31 |
| 1013068568 | Charles Robert Hendricks Jr. | Physical Therapist | 4400 Us Highway 9, Suite 1500, Freehold, NJ 07728-1383 | 2007-01-12 |
| 1356499016 | Charles Michael Hendricks | Psychiatry & Neurology | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2007-01-08 |
| 1194724799 | Charles W Hendricks | Internal Medicine | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2005-07-18 |
| Street Address |
17 HANCOCK ST |
| City | BAR HARBOR |
| State | ME |
| Zip Code | 04609-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518946185 | Brian J. Caine | Family Medicine | 17 Hancock St, Bar Harbor, ME 04609-1714 | 2006-01-12 |
| 1700018645 | Katherine L Lawson | Nurse Practitioner | 17 Hancock St, Bar Harbor, ME 04609-1714 | 2009-08-11 |
| 1821268889 | Eden Surgical Associates, P.a. | Surgery | 17 Hancock St, Bar Harbor, ME 04609-1714 | 2008-03-06 |
| 1861582678 | Aaron Michael Perme | Surgery | 17 Hancock St, Bar Harbor, ME 04609 | 2006-10-13 |
| 1598793317 | Michael Mason | Surgery | 17 Hancock St, Bar Harbor, ME 04609-1714 | 2006-06-29 |
| 1487625828 | Meryl Nass | Hospitalist | 17 Hancock St, Bar Harbor, ME 04609-1714 | 2006-02-01 |
| 1033199658 | Edward B Gilmore | Internal Medicine | 17 Hancock St, Bar Harbor, ME 04609-1714 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185785 | Mount Desert Island Ymca | Specialist/Technologist | 21 Park Street, Bar Harbor, ME 04609 | 2019-10-17 |
| 1205205341 | Bar Harbor Chiropractic | Chiropractor | 24 1st South Street, Bar Harbor, ME 04609 | 2015-09-18 |
| 1558744722 | Tia Winter | Social Worker | 1 Dewey Street, Bar Harbor, ME 04609 | 2015-07-06 |
| 1659513992 | Abdolghader Molavi | Internal Medicine | 19 Grason Lane, Bar Harbor, ME 04609 | 2009-04-01 |
| 1699836890 | Pamela Parvin | Counselor | 61 B Cottage Street, Bar Harbor, ME 04609 | 2006-12-12 |
| 1962577163 | Christopher S. Maller | Dentist | 1357 State Hwy, Rt. 102, Bar Harbor, ME 04609 | 2006-11-22 |
| 1821167347 | Donna Mae Karlson | Social Worker | 8 Devon Road, Bar Harbor, ME 04609 | 2006-11-07 |
| 1750351672 | Dianne Hollis Lytle | Midwife | 10 Wayman Lane, Mt Desert Island Hospital & Health Centers, Bar Harbor, ME 04609 | 2006-01-24 |
| 1306217021 | Tara Mckernan | Counselor | 1 Dewey Street, Bar Harbor, ME 04609 | 2015-10-08 |
| 1235525759 | Gabriel Johnson Plourde | Family Medicine | 322 Main St, Bar Harbor, ME 04609 | 2015-04-10 |
| Find all providers in zip 04609 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821268889 | Eden Surgical Associates, P.a. | Surgery | 17 Hancock St, Bar Harbor, ME 04609-1714 | 2008-03-06 |
| 1861582678 | Aaron Michael Perme | Surgery | 17 Hancock St, Bar Harbor, ME 04609 | 2006-10-13 |
| 1598793317 | Michael Mason | Surgery | 17 Hancock St, Bar Harbor, ME 04609-1714 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329133 | Thomas Tarnay | Surgery | 108 Nickerson Ln, Rome, ME 04963-3239 | 2016-12-03 |
| 1831572882 | Alexander James Wall IIi | Surgery | 463 Manchester Rd, Belgrade, ME 04917-3812 | 2015-07-08 |
| 1851654933 | Shantanu N Razdan | Surgery | 193 Main St Ste 16, Norway, ME 04268-5647 | 2012-06-22 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1336411057 | Heidar Nemat | Surgery | 44 Hillside Avenue, Auburn, ME 04210-4653 | 2012-01-27 |
| 1386962546 | John Michael Fallon II | Surgery | 818 Congress St Dept Of, Portland, ME 04102-3112 | 2010-05-12 |
| 1689905283 | Ivan L Shapiro | Surgery | 101 Presque Isle Rd., Fort Fairfield, ME 04742-0325 | 2010-01-21 |
| 1275762999 | Brady C Mullin | Surgery | 193 Main Street, Suite 16, Norway, ME 04268 | 2009-07-02 |
| 1104070051 | William Warren Babson Jr. | Surgery | 578 Barn Brook Rd., Sinclair, ME 04779-0079 | 2008-11-05 |
| 1851540108 | Khaldoun Kamal Bekdache | Surgery | 417 State St. Surgery and Trauma Specialists of Maine, Webber West, Suite 340, Bangor, ME 04401 | 2008-09-11 |
| Find all providers with the same taxonomy | ||||
| City | BAR HARBOR |
| Zip Code | 04609 |
Please comment or provide details below to improve the information on CHARLES HENDRICKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.