ED JERALD HENDRICKS


Address: 2510 Douglas Blvd, Suite 200, Roseville, CA 95661-3300
Phone: 9167731191

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RB0002X Internal Medicine
Specialization: Obesity Medicine
G22146 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2510 DOUGLAS BLVD
SUITE 200
City ROSEVILLE
State CA
Zip Code 95661-3300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144520651 Sabeena Acharya Psychiatry & Neurology 2510 Douglas Blvd, 300, Roseville, CA 95661-3300 2010-10-30

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RB0002X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Obesity Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508057522 Anthony Vu Huynh Internal Medicine 3100 Douglas Blvd Ste 204, Roseville, CA 95661-3868 2007-08-06

Providers in the same taxonomy and state

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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Competitor

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City ROSEVILLE
Zip Code 95661

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Dataset Information

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.

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