KATHRYN W HENDRICKSON


Address: 26 N 1900 E, Salt Lake City, UT 84132-0002
Phone: 8015817806

KATHRYN W HENDRICKSON (NPI# 1750730743) 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) 1750730743
Entity Type Individual
Full Name KATHRYN W HENDRICKSON
Credential MD
Practice Address 26 N 1900 E
Salt Lake City
UT 84132-0002
Practice Telephone 8015817806
Mailing Telephone 8015817806
Enumeration Date 2016-06-09
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
11301222-1205 UT Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
11301222-1205 UT Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program PG177341 OR Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
5050 Ne Hoyt St, Ste 540, Portland, OR 972132991 5032156600

Other Providers KATHRYN HENDRICKSON

NPI Name Taxonomy Address Enumeration
1346667326 Kathryn Hendrickson Nurse Practitioner 3438 Lawton Rd Ste 2b, Orlando, FL 32803-2948 2014-03-27
1093774754 Kathryn Denise Hendrickson Pediatrics 7303 Rogers Ave, Fort Smith, AR 72903-4112 2006-03-21

Office Location

Street Address 26 N 1900 E
City SALT LAKE CITY
State UT
Zip Code 84132-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508962176 Chakravarthy B Reddy Internal Medicine 26 N 1900 E, 701, Wintrobe Building, Salt Lake City, UT 84132-0002 2006-09-14
1194171942 Sarah Elizabeth Stern Internal Medicine 26 N 1900 E, Salt Lake City, UT 84132-0002 2016-05-11
1841651742 Brittany Mary Scarpato Internal Medicine 26 N 1900 E, Salt Lake City, UT 84132-0002 2016-03-19
1770973489 Brian Poole Internal Medicine 26 N 1900 E, Salt Lake City, UT 84132-0002 2015-02-02
1730596925 Jaskaran S. Sethi Internal Medicine 26 N 1900 E, Salt Lake City, UT 84132-0002 2014-07-19
1568751519 Ian Mecham Internal Medicine 26 N 1900 E, Salt Lake City, UT 84132-0002 2011-03-30
1831404136 Akshu Balwan Internal Medicine 26 N 1900 E, Salt Lake City, UT 84132-0002 2010-08-11
1619121019 Sanjeev Murthi Raman Internal Medicine 26 N 1900 E, #701 Wintrobe, Salt Lake City, UT 84132-0002 2008-11-12
1093971863 Enoch Daniel Christopherson Physician Assistant 26 N 1900 E, Wintrobe 701, Salt Lake City, UT 84132-0002 2008-07-31
1992969786 University of Utah Hospital General Acute Care Hospital 26 N 1900 E, Cystic Fibrosis Center, Salt Lake City, UT 84132-0002 2008-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053407726 Tom V Cloward Internal Medicine 400 D Street Ste 206, Salt Lake City, UT 84143 2006-10-04
1114931540 Jamile Sarah Woods Internal Medicine Lds Hospital, 324, 8th Avenue, Salt Lake City, UT 84143-0001 2006-07-29
1003820754 Hildegard K Smith Internal Medicine 324 10th Ave Ste 104, Salt Lake City, UT 84143-0001 2006-07-28
1629010079 John Wade Shigeoka Internal Medicine Pulmonary Section 111p, Va Medical Center, Salt Lake City, UT 84148-0001 2006-06-11
1700858727 Paul T Teman Internal Medicine Sleep-wake Center, 375 Chipeta Way, Suite A200, Salt Lake City, UT 84108-1260 2006-02-03
1508861964 Mark L Martinez Internal Medicine 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 2005-06-14
1487124624 Ihc Health Services Inc Internal Medicine 324 E 10th Ave Ste 170, Salt Lake City, UT 84103-2858 2018-11-30
1093119893 University of Utah Adult Services Internal Medicine 50 North Medical Drive, Salt Lake City, UT 84132 2014-10-22
1417375213 Bonnie Ronish Internal Medicine 50 N Medical Dr, Salt Lake City, UT 84132-7414 2014-03-31
1134563729 Ashley Lauren Garrett Internal Medicine 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 2013-04-25
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Competitor

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City SALT LAKE CITY
Zip Code 84132

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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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