KIMBERLY S HENDRICKS (NPI# 1255345336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255345336 |
Entity Type | Individual |
Full Name | KIMBERLY S HENDRICKS |
Other Name | KIMBERLY S ENGLAND |
Credential | DO |
Practice Address |
7707 Paragon Rd Suite 101 Dayton OH 45459-4041 |
Practice Telephone | 9372086920 |
Practice Fax Number | 9372086920 |
Mailing Telephone | 9372086920 |
Mailing Fax Number | 9372086920 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2013-12-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
34.008678 | OH | Allopathic & Osteopathic Physicians |
N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
03199 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | OHIO MEDICAID MOLINA | 2678348 | 01 |
OH | 2678348 | 05 | |
OH | OH MEDICAID UNISON | 000000414491 | 01 |
OH | RAILROAD MEDICARE | P00962152 | 01 |
OH | OH MEDICAID CARESOURCE | 310917085249 | 01 |
Street Address |
7707 PARAGON RD SUITE 101 |
City | DAYTON |
State | OH |
Zip Code | 45459-4041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003888090 | Samar Hijazi | Internal Medicine | 7707 Paragon Rd, Suite 101, Dayton, OH 45459-4041 | 2006-02-03 |
1073806923 | Breanna R Veal | Physician Assistant | 7707 Paragon Rd, Suite 101, Dayton, OH 45459-4041 | 2011-05-25 |
1669697249 | Perinatal Partners, LLC | Obstetrics & Gynecology | 7707 Paragon Rd, Ste 103, Dayton, OH 45459-4041 | 2007-04-17 |
1811936594 | Roger Griffin | Internal Medicine | 7707 Paragon Rd, Ste 101, Dayton, OH 45459-4041 | 2006-06-06 |
1932148780 | John R Boyle | Internal Medicine | 7707 Paragon Rd, Ste 101, Dayton, OH 45459-4041 | 2006-06-06 |
1639118268 | Edward Sachs IIi | Internal Medicine | 7707 Paragon Rd, Ste 101, Dayton, OH 45459-4041 | 2006-06-06 |
1073552782 | Louis P Heckman | Internal Medicine | 7707 Paragon Rd, Ste 101, Dayton, OH 45459-4041 | 2006-06-06 |
1891740155 | Frank C Von Maluski | Internal Medicine | 7707 Paragon Rd, Suite 101, Dayton, OH 45459-4041 | 2006-05-24 |
1356396766 | Chethana J Raghupathy | Internal Medicine | 7707 Paragon Rd, Ste 101, Dayton, OH 45459-4041 | 2006-05-24 |
1861445520 | Mvhe Inc | Internal Medicine | 7707 Paragon Rd, Ste 101, Dayton, OH 45459-4041 | 2006-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
Find all providers in zip 45459 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114056090 | Sanford M Wolfe Do | Internal Medicine | 111 W 1st St Ste 544, Dayton, OH 45402-1154 | 2007-03-05 |
1851397285 | Robert A Schriber | Internal Medicine | 130 W 2nd St, Ste 1430, Dayton, OH 45402-1502 | 2005-06-21 |
1255515813 | Robert A Schriber Md Inc | Internal Medicine | 130 W 2nd St, Suite 1430, Dayton, OH 45402-1500 | 2007-12-19 |
1013116409 | Mvhe Inc | Internal Medicine | 1520 S Main St, Ste 3, Dayton, OH 45409-2698 | 2007-07-16 |
1285847855 | Maria Thomas-john | Internal Medicine | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2007-05-08 |
1184762122 | Shobha R Wani | Internal Medicine | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1323 | 2007-02-02 |
1063452704 | Jon P Ryan | Internal Medicine | 9000 N Main St, Suite 200, Dayton, OH 45415-1180 | 2006-06-08 |
1083669162 | Samaritan Family Care Inc. | Internal Medicine | 9000 N Main St, Suite 200, Dayton, OH 45415-1180 | 2006-05-24 |
1255390233 | Sanford Mayer Wolfe | Internal Medicine | 1 Elizabeth Pl, Ste 230, Dayton, OH 45417-3445 | 2006-03-20 |
1700845906 | Harley Morton Ellman | Internal Medicine | 1 Elizabeth Pl, Suite 230, Dayton, OH 45417-3445 | 2006-03-17 |
Find all providers in DAYTON |
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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.