DAN J HENDRICKSON (NPI# 1467525949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467525949 |
| Entity Type | Individual |
| Full Name | DAN J HENDRICKSON |
| Credential | M.D. |
| Practice Address |
401 E Hawaii Nampa ID 83686 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083022100 |
| Practice Fax Number | 2083022125 |
| Mailing Telephone | 2083022100 |
| Mailing Fax Number | 2083022125 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
M-9672 | ID | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
M-9672 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE | 000010158154 | 01 |
| ID | 807658900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588844344 | Dan R Hendrickson | Pharmacist | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2007-11-09 |
| Street Address |
401 E HAWAII |
| City | NAMPA |
| State | ID |
| Zip Code | 83686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932169042 | Cary V. Jackson | Internal Medicine | 401 E Hawaii, Nampa, ID 83686 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1932169042 | Cary V. Jackson | Internal Medicine | 401 E Hawaii, Nampa, ID 83686 | 2006-03-23 |
| 1275979692 | Katarzyna Kaczmarczyk | Internal Medicine | 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407124753 | Idaho Falls Pulmonary Sleep & Critical Care Specialists | Internal Medicine | 2442 E 25th St, Idaho Falls, ID 83404-7549 | 2011-12-01 |
| 1831423557 | Idagem Services Inc | Internal Medicine | 1533 N Milwaukee St, Ste 321, Boise, ID 83704-8471 | 2009-09-28 |
| 1417102930 | Joshua David Holweger | Internal Medicine | 1075 N Curtis, Ste 200, Boise, ID 83706-1350 | 2008-11-25 |
| 1659407716 | Richard Keith Oehlschlager | Internal Medicine | 3036 Lakewood Way, Boise, ID 83706-5240 | 2007-02-25 |
| 1194861534 | Richard J Robinson | Internal Medicine | 700 West Ironwood Drive, Suite 336, Coeur D'alene, ID 83814-4485 | 2007-01-30 |
| 1013946391 | Janat E. O'donnell | Internal Medicine | 1075 N. Curtis Rd, Suite 200, Boise, ID 83706-1300 | 2006-06-30 |
| 1528002029 | Ronald F Fullmer | Internal Medicine | 570 Shoup Ave W, Twin Falls, ID 83301-5029 | 2006-06-15 |
| 1932191319 | Peter Lawrence Fort | Internal Medicine | 777 Hospital Way Ste 202, Pocatello, ID 83201-5175 | 2005-08-22 |
| 1932769700 | Gritman Medical Center Inc | Internal Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2019-06-14 |
| 1073027389 | Jordan Joseph Cormier | Internal Medicine | 2330 Desoto St, Idaho Falls, ID 83404-7570 | 2017-11-22 |
| Find all providers with the same taxonomy | ||||
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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.