DR. JOHN C HENDRICKS (NPI# 1902849029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902849029 |
| Entity Type | Individual |
| Full Name | DR. JOHN C HENDRICKS |
| Credential | M.D. |
| Practice Address |
601 John St Suite M261 Kalamazoo MI 49007-5341 |
| Practice Telephone | 2694882626 |
| Practice Fax Number | 2694882625 |
| Mailing Telephone | 2694882626 |
| Mailing Fax Number | 2694882625 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301033379 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GREAT LAKES HLTH PLAN | 107985 | 01 | |
| MI | BCBS PIN | 1803968251 | 01 |
| MI | 4238221-10 | 05 | |
| AETNA PIN | 5276514 | 01 | |
| MI | 4999314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669695045 | John R Hendricks Jr. | Dentist | 70 Pennington Dr Ste 7, Bluffton, SC 29910-6056 | 2007-04-11 |
| 1154476976 | John Everett Hendricks Jr. | Physician Assistant | 5411 W 78th St, Johns Hopkins University/pepsico Health & Wellness Ctr, Indianapolis, IN 46268-4150 | 2007-01-24 |
| 1992705610 | John C Hendricks | Physician Assistant | 75 Sheldon Blvd Se, Suite 100, Grand Rapids, MI 49503 | 2005-07-22 |
| 1902319023 | John Hendricks | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2017-11-11 |
| 1437228368 | John Hendricks | Chiropractor | 102 E Ludington Ave, Ludington, MI 49431-2191 | 2006-11-07 |
| 1679529846 | John Y Hendricks | Anesthesiology | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2006-05-26 |
| 1013977677 | John C. Hendricks | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-27 |
| 1750381935 | John C Hendricks | Anesthesiology | 2701 17th St, Rock Island, IL 61201-5351 | 2005-07-28 |
| Street Address |
601 JOHN ST SUITE M261 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122757 | Joan K. Slager | Advanced Practice Midwife | 601 John St, Ste N-1200, Kalamazoo, MI 49007-5341 | 2005-05-27 |
| 1841898780 | Alexandra Marie Christmas | Physician Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2020-10-13 |
| 1003423237 | Ochuko Andrew Oghor | Student in an Organized Health Care Education/Training Program | 601 John St, Kalamazoo, MI 49007-5341 | 2020-10-01 |
| 1710591680 | Marshe Suderman | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-09-08 |
| 1609485481 | Kristy Lynn Mumby | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-07-28 |
| 1407475700 | Bethany Hodges | Dietitian, Registered | 601 John St, Kalamazoo, MI 49007-5341 | 2020-04-16 |
| 1760031157 | Michael Nestorak | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-09 |
| 1639728272 | James Michael Curtis | Pharmacist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-06 |
| 1538716451 | Sheri Jones | Physical Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-26 |
| 1790332658 | Jill Marie Woodhams | Occupational Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205301983 | Grand Blanc Opthalmology | Ophthalmology | 123 South Westnedge Ave, Kalamazoo, MI 49007-6420 | 2018-10-09 |
| 1760755805 | James W Melluish | Ophthalmology | 2318 Sheffield Dr, Kalamazoo, MI 49008-1708 | 2012-02-21 |
| 1174855134 | Vision Eye Care | Ophthalmology | 123 S Westnedge Ave, Kalamazoo, MI 49007-4625 | 2010-02-02 |
| 1851305221 | John R Trittschuh | Ophthalmology | 4016 W Main St, Kalamazoo, MI 49006 | 2006-07-28 |
| 1851340145 | Kurt A Haller | Ophthalmology | 1052 Gull Rd, Kalamazoo, MI 49048-1734 | 2006-05-06 |
| 1083673974 | Ronald Lee Vanderlugt | Ophthalmology | 1717 Shaffer Street, Suite 207, Kalamazoo, MI 49048-1625 | 2006-03-21 |
| 1134384936 | Eyecare Physicians and Surgeons PC | Ophthalmology | 4016 W Main St, Kalamazoo, MI 49006-2745 | 2008-07-22 |
| 1568626208 | Michael Anthony Brusco | Ophthalmology | 4016 W Main St, Kalamazoo, MI 49006-2745 | 2008-07-11 |
| 1467638338 | Ronald L Vanderlugt Md | Ophthalmology | 1717 Shaffer St, Suite 207, Kalamazoo, MI 49048-1625 | 2008-01-10 |
| 1316155864 | Munzer Abdulhak | Ophthalmology | 1535 Gull Road, Suite 120, Kalamazoo, MI 49048-1634 | 2007-05-18 |
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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.