LARRY ALAN HENDRICKS (NPI# 1992723530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992723530 |
| Entity Type | Individual |
| Full Name | LARRY ALAN HENDRICKS |
| Credential | PA-C |
| Practice Address |
520 Chautauqua Blvd Valley City ND 58072-3145 |
| Practice Telephone | 7018456000 |
| Practice Fax Number | 7018456150 |
| Mailing Telephone | 7018456000 |
| Mailing Fax Number | 7018456150 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAC0123 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184809071 | Larry H Hendricks | Counselor | 1222 S Union Ave, Tacoma, WA 98405-1922 | 2008-01-09 |
| 1720096621 | Larry D Hendricks | Internal Medicine | 8365 Circlewood Drive N., Saginaw, MI 48609 | 2006-08-04 |
| Street Address |
520 CHAUTAUQUA BLVD |
| City | VALLEY CITY |
| State | ND |
| Zip Code | 58072-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144262858 | Sanford Clinic North | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-06-10 |
| 1982109930 | Amy Beth Tahran | Counselor | 520 Chautauqua Blvd, Valley City, ND 58072 | 2018-03-29 |
| 1932621414 | Ashley M Horner | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2017-07-17 |
| 1558807289 | Antonia Popo | Social Worker | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2017-01-19 |
| 1215393657 | Jessica Gower | Physician Assistant | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2016-01-14 |
| 1114207453 | Sanford Medical Center Fargo | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2011-08-18 |
| 1073825089 | Judy L Anderson | Physician Assistant | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2010-07-07 |
| 1417109760 | Misty Kay Anderson | Internal Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2008-10-17 |
| 1669583183 | David L Hochhalter | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-08-31 |
| 1851314942 | Glenn M Thoreson | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376063693 | Casey Skramstad | Adult Companion | 943 13th Ave Sw, Valley City, ND 58072 | 2017-06-27 |
| 1750656310 | Scott Mcneal | Specialist | 1028 West Main St, Valley City, ND 58072 | 2012-03-15 |
| 1447560164 | Lemont William Jahn | Pharmacist | 148 S Central Avenue, Valley City, ND 58072 | 2010-10-15 |
| 1104000124 | Janice Kay Gabriel Johnson | Occupational Therapist | 136 2nd Ave Ne, Valley City, ND 58072 | 2007-12-27 |
| 1194926659 | Barnes County Ambulance Inc | Emergency Medical Technician, Paramedic | 914 11th Ave Sw, Valley City, ND 58072 | 2007-05-30 |
| 1649332461 | Craig A Wagamon | Nurse Anesthetist, Certified Registered | 206 8th St Nw, Valley City, ND 58072 | 2006-12-15 |
| 1235204389 | Open Door Center | Intermediate Care Facility, Mentally Retarded | 209 2nd Street Se, Valley City, ND 58072 | 2006-11-22 |
| 1215001706 | Barbara E Owen | Speech-Language Pathologist | Sheyenne Care Center, 979 No Central Ave, Valley City, ND 58072 | 2006-11-17 |
| 1891877239 | Central Avenue Chiropractic PC | Chiropractor | 323 Central Avenue North, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| 1831271287 | Larry Edwin Sayler | Chiropractor | 323 North Central Avenue, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| Find all providers in zip 58072 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649291865 | Joan Lefor Stoltz | Physician Assistant | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355608 | Jenny L Brown | Physician Assistant | 3750 19th St Sw, Center, ND 58530-9700 | 2019-06-14 |
| 1407335383 | Chelsey Galipeau | Physician Assistant | 516 1st Ave Sw, Dickinson, ND 58601-5906 | 2018-08-10 |
| 1093184657 | Grant Lannoye | Physician Assistant | 7448 Us Hwy 281, Cando, ND 58324-0688 | 2015-09-24 |
| 1821408907 | Laramie Jay Richmond | Physician Assistant | 311 Davis St N, Burlington, ND 58722-2027 | 2014-04-29 |
| 1962749226 | Lindsey K Baker | Physician Assistant | 1600 2nd Ave Sw Ste 19, Minot, ND 58701-3459 | 2013-01-07 |
| 1205015633 | Jamie M Brown | Physician Assistant | 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 | 2007-11-02 |
| 1811036247 | Tyesha Dawn Marie Dent | Physician Assistant | 302 North Main, Elgin, ND 58533 | 2007-02-05 |
| 1629160080 | Teresa Nielsen | Physician Assistant | 820 2nd Ave W, New England, ND 58647 | 2006-09-29 |
| 1841208394 | Lynette Marie Azure | Physician Assistant | 320 4th St Se, Devils Lake, ND 58301-3610 | 2006-08-03 |
| 1790703353 | Mary Jane Kadry | Physician Assistant | 1121 Westrac Dr S Ste 204, Fargo, ND 58103-2385 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY CITY |
| Zip Code | 58072 |
Please comment or provide details below to improve the information on LARRY ALAN HENDRICKS.
| 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.