ED JERALD HENDRICKS (NPI# 1700220092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700220092 |
Entity Type | Individual |
Full Name | ED JERALD HENDRICKS |
Credential | M.D. |
Practice Address |
2510 Douglas Blvd Suite 200 Roseville CA 95661-3300 |
Practice Telephone | 9167731191 |
Practice Fax Number | 9167730498 |
Mailing Telephone | 9167731191 |
Mailing Fax Number | 9167730498 |
Enumeration Date | 2013-04-17 |
Last Update Date | 2013-04-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
G22146 | CA | Allopathic & Osteopathic Physicians |
Street Address |
2510 DOUGLAS BLVD SUITE 200 |
City | ROSEVILLE |
State | CA |
Zip Code | 95661-3300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144520651 | Sabeena Acharya | Psychiatry & Neurology | 2510 Douglas Blvd, 300, Roseville, CA 95661-3300 | 2010-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
Find all providers in zip 95661 |
Taxonomy Code | 207RB0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Obesity Medicine |
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508057522 | Anthony Vu Huynh | Internal Medicine | 3100 Douglas Blvd Ste 204, Roseville, CA 95661-3868 | 2007-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619516531 | Jagraj Singh Basi | Internal Medicine | 2027 Grand Canal Blvd Ste 28, Stockton, CA 95207-6650 | 2019-12-23 |
1427517812 | Adventist Health Physicians Network | Internal Medicine | 951 E. Merritt Ave., Tulare, CA 93274 | 2019-03-15 |
1780030122 | Arthur Aronson | Internal Medicine | 450 A St Ste 400, San Diego, CA 92101-4217 | 2016-05-04 |
1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
1962640508 | Ronnie Eugene Stone | Internal Medicine | 1835 Prairie City Rd, Suite #200, Folsom, CA 95630-9582 | 2009-02-04 |
1598898462 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 1760 Termino Ave Ste G18, Long Beach, CA 90804-2169 | 2007-03-13 |
1942258124 | Harpreet K Singh | Internal Medicine | 921 W 7th St, Oxnard, CA 93030-6755 | 2006-05-04 |
1134677446 | Professional Weight Control Centers | Internal Medicine | 4601 Telephone Rd, Suite 108, Ventura, CA 93003-5670 | 2016-09-15 |
1194172510 | 360 Medical Weight Specialists | Internal Medicine | 2255 Ygnacio Valley Rd, Suite G, Walnut Creek, CA 94598-3343 | 2016-05-16 |
1588033914 | Dietonix | Internal Medicine | 625 Citracado Pkwy, Suite 104, Escondido, CA 92025-6428 | 2015-09-16 |
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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.