DR. CHAD SCOTT HENDRICKSON (NPI# 1780665075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780665075 |
| Entity Type | Individual |
| Full Name | DR. CHAD SCOTT HENDRICKSON |
| Credential | M.D. |
| Practice Address |
100 Innovation Dr Suite 103 Bhs Dermatology Associates Chad Hendricksonmd Slippery Rock PA 16057-2468 |
| Practice Telephone | 7247947923 |
| Practice Fax Number | 7247947931 |
| Mailing Telephone | 7247947923 |
| Mailing Fax Number | 7247947931 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD447706 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154667632 | Chad Leroy Hendrickson | Chiropractor | 6550 York Ave S Ste 600, Edina, MN 55435-2367 | 2013-01-02 |
| Street Address |
100 INNOVATION DR SUITE 103 BHS DERMATOLOGY ASSOCIATES CHAD HENDRICKSONMD |
| City | SLIPPERY ROCK |
| State | PA |
| Zip Code | 16057-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033508023 | Melody Kniess | Physician Assistant | 100 Innovation Dr, Suite 103, Slippery Rock, PA 16057-2468 | 2015-01-14 |
| 1184986804 | Bhs Fastercare Pllc | Clinic/Center | 100 Innovation Dr, Suite 103, Slippery Rock, PA 16057-2468 | 2012-06-08 |
| 1316910128 | Glenn M Uber | Family Medicine | 100 Innovation Dr, Suite 101, Slippery Rock, PA 16057 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427596162 | Michelle Barron | Registered Nurse | 204 Campus Drive, Mclachlan Student Health Center, Slippery Rock, PA 16057 | 2017-02-02 |
| 1386191427 | Adam Mcdowell | Specialist/Technologist | 154 Barron Rd, Slippery Rock, PA 16057 | 2016-09-07 |
| 1457699746 | Tri Rivers Physicl Therapy, LLC | Physical Therapist | 1000 Innovation Drive, Suite 104, Slippery Rock, PA 16057 | 2013-01-22 |
| 1134399835 | David L Gordley Dds LLC | Dentist | 211 Grove City Rd, Slippery Rock, PA 16057 | 2008-03-10 |
| 1124171632 | Allied Dental Group | Dentist | 234 South Main Street, Slippery Rock, PA 16057 | 2007-01-19 |
| 1831273226 | Bonnie J Siple | Specialist/Technologist | 112 West Gym, Slippery Rock University of Pa, Slippery Rock, PA 16057 | 2006-10-24 |
| 1245292051 | Michael Scott Zema | Specialist/Technologist | Dept. of Exercise and Rehabilitative Sciences, Room 117 West Gym, Slippery Rock, PA 16057 | 2006-04-05 |
| 1871570747 | Daniel Ferguson | Internal Medicine | 621 Kelly Blvd, Slippery Rock, PA 16057 | 2005-12-30 |
| 1386639706 | Paul Andrew Cacolice | Specialist/Technologist | 304 Patterson Hall, Exercise and Rehab Sciences, Slippery Rock University, Slippery Rock, PA 16057 | 2005-09-12 |
| 1417203480 | Brent Kanar | Dentist | 234 South Main Street, Slippery Rock, PA 16057 | 2012-07-27 |
| Find all providers in zip 16057 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013748 | Consonant Healing Medical Associates of Pa LLC | Dermatology | 49 Smith Mill Rd, New Freedom, PA 17349-8147 | 2020-08-13 |
| 1790395747 | Dermatology Specialists of Pennsylvania | Dermatology | 1122 Street Rd Ste 204, Southampton, PA 18966-4218 | 2020-08-05 |
| 1275151458 | Sylvan Dermatology LLC | Dermatology | 32 Parking Plz Ste 300, Ardmore, PA 19003-2443 | 2020-07-14 |
| 1841819455 | Rowe Dermatology, Pllc | Dermatology | 519 Owen Rd, Wynnewood, PA 19096-1714 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1346882651 | Whalen Dermatology of Pittsburgh PC | Dermatology | 160 Millers Run Rd Ste 500, Bridgeville, PA 15017-1358 | 2019-10-09 |
| 1932740461 | Mark Abdelmalek, Md LLC | Dermatology | 200 N 16th St Ste D, Philadelphia, PA 19102-1225 | 2019-10-07 |
| 1093368185 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Rd Ste 215a, Langhorne, PA 19047-1219 | 2019-07-18 |
| 1821573619 | St. Luke's Physician Group, Inc | Dermatology | 1600 St Lukes Blvd Ste 100, Easton, PA 18045-5671 | 2018-09-27 |
| 1588147748 | Pittsburgh Skin PC | Dermatology | 144 Emeryville Dr Ste 230, Cranberry Twp, PA 16066-5015 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | SLIPPERY ROCK |
| Zip Code | 16057 |
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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.