NATHAN R. HENDRICKSON (NPI# 1306227632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306227632 |
| Entity Type | Individual |
| Full Name | NATHAN R. HENDRICKSON |
| Credential | MD, MS |
| Practice Address |
590 S Wakara Way Salt Lake City UT 84108-1200 |
| Practice Telephone | 8015875400 |
| Mailing Telephone | 8015875400 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | R-10362 | IA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
11741886-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
590 S WAKARA WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524862 | Kimberly M Ross | Occupational Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2005-08-03 |
| 1558988717 | Logan James Couce | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-07-02 |
| 1457976581 | Abigail Bigham | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-06-15 |
| 1073141768 | Matthew Jiajing Siebert | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-30 |
| 1326676370 | Joshua Paul Rainey | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-27 |
| 1407483886 | Olivia Grothaus | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-25 |
| 1316574775 | Eleanor Hope Sato | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-25 |
| 1922632959 | Alexander John Reese | Pharmacist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-02-28 |
| 1679110548 | Byron C Miller | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2019-12-10 |
| 1851933501 | Gabrielle Lecheminant Grimmer | Physician Assistant | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081412 | Alta Canyon Spine LLC | Orthopaedic Surgery | 5770 S 250 E Ste 135, Salt Lake City, UT 84107-8241 | 2017-06-02 |
| 1881663870 | Reed Fogg | Orthopaedic Surgery | 5770 South 250 East, Suite 135, Salt Lake City, UT 84107-8241 | 2006-03-14 |
| 1841654407 | University of Utah Pediatric Services | Orthopaedic Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
| 1770987471 | University of Utah Surgical Services | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-10-09 |
| 1902223043 | Peter Shorten | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-03-26 |
| 1114978533 | Richard Andrew Dal Canto | Orthopaedic Surgery | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2006-05-12 |
| 1982673505 | Robert Berry | Orthopaedic Surgery | 5770 South 250 East, Suite 135, Salt Lake City, UT 84107-8241 | 2006-03-16 |
| 1730171232 | Kade T Huntsman | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
| 1851383350 | Brent A Felix | Orthopaedic Surgery | 1160 E 3900 S Ste 4050, Salt Lake City, UT 84124-1264 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972741528 | Stephen J. Warner Md PC | Orthopaedic Surgery | 5323 South Woodrow Street Suite 200, Murray, UT 84107 | 2009-02-04 |
| 1518115419 | Reed Fogg Md PC | Orthopaedic Surgery | 5770 So 250 E, Suite 135, Murray, UT 84107-8241 | 2008-09-04 |
| 1164491460 | Stephen M Hansen | Orthopaedic Surgery | 619s Bluff St, St George, UT 84770-3853 | 2006-03-17 |
| 1457793697 | Huntsman West Spine LLC | Orthopaedic Surgery | 230 N 1680 E, Ste I-1, Saint George, UT 84790-2579 | 2013-07-29 |
| 1295755924 | Gary D Snook | Orthopaedic Surgery | 2321 N 400 E Ste 300, Tooele, UT 84074-3440 | 2006-07-19 |
| 1164453106 | Stephen Warner | Orthopaedic Surgery | 5323 South Woodrow Street, Suite 200, Murray, UT 84107 | 2006-07-06 |
| 1801879226 | Alpine Management and Consulting | Orthopaedic Surgery | 1030 Medical Dr Ste A, Brigham City, UT 84302-3276 | 2005-11-21 |
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on NATHAN R. HENDRICKSON.
| 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.