CLIFFORD DANIEL HENDRICKSON (NPI# 1992816888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992816888 |
| Entity Type | Individual |
| Full Name | CLIFFORD DANIEL HENDRICKSON |
| Credential | MD |
| Practice Address |
1 University Pkwy High Point NC 27268-1050 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3368414683 |
| Practice Fax Number | 3368886353 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2016-02115 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301071675 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 1108124371 | 01 |
| MI | BCBS | 700H110750 | 01 |
| MI | MCARE | C5702 | 01 |
| Street Address |
1 UNIVERSITY PKWY |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27268-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251981 | Maritza Abonza | Physician Assistant | 1 University Pkwy, High Point, NC 27268-0002 | 2020-09-28 |
| 1275146060 | Erica Ball | Physician Assistant | 1 University Pkwy, High Point, NC 27268-4260 | 2020-08-31 |
| 1801446448 | Brett Steven Pexa | Specialist/Technologist | 1 University Pkwy, High Point, NC 27268-0002 | 2019-09-16 |
| 1861989568 | Allyson Bryant | Specialist/Technologist | 1 University Pkwy, High Point, NC 27268-4260 | 2018-04-18 |
| 1700382280 | Renee Nicole Hamel | Physical Therapist | 1 University Pkwy, High Point, NC 27268-4260 | 2018-04-03 |
| 1730618281 | Curtis Lee Pope Jr. | Specialist/Technologist | 1 University Pkwy, High Point, NC 27268-0002 | 2017-06-08 |
| 1346797255 | Jana Watson Villanueva | Physician Assistant | 1 University Pkwy, High Point, NC 27268-4220 | 2016-09-08 |
| 1730587874 | Cornerstone Health Care, LLC | Family Medicine | 1 University Pkwy, Campus Box 50, High Point, NC 27268-0001 | 2014-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910887 | Scott Heath | Physician Assistant | One University Pkwy, Department of Physician Assistant Studies, High Point, NC 27268 | 2020-07-27 |
| 1336774579 | Katherine Mary Yakel | Specialist/Technologist | One University Parkway Drawer 9, High Point, NC 27268-0001 | 2020-03-09 |
| 1457531220 | Joshua Thomas Geruso | Specialist/Technologist | 833 Montlieu Ave, High Point, NC 27268-0001 | 2007-11-09 |
| 1962017749 | Michael Horner | Physician Assistant | 1 University Pkwy # 70, High Point, NC 27268-0002 | 2020-09-09 |
| 1518592757 | Angela Talaganis | Specialist/Technologist | 1 University Pkwy # 9, High Point, NC 27268-4260 | 2020-03-09 |
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013437755 | Cornerstone Health Care, LLC | Internal Medicine | 1814 Westchester Dr Ste. 203, High Point, NC 27262-7369 | 2017-06-23 |
| 1730636028 | Elohim Housecall Doctors P.a. | Internal Medicine | 5009 Bennington Way, High Point, NC 27262-8473 | 2016-09-05 |
| 1467865782 | Kim Capel | Internal Medicine | 4510 Premier Drive, Suite 101-a, High Point, NC 27265-8350 | 2014-06-04 |
| 1013206044 | Gordon B Arnold Md Pllc | Internal Medicine | 204 Gatewood Ave Ste B, High Point, NC 27262-4820 | 2011-03-30 |
| 1740509629 | Bernard Ayiku | Internal Medicine | 319 Westwood Ave Uppr Level, High Point, NC 27262-4323 | 2010-05-18 |
| 1508987447 | Cornerstone Health Care, LLC | Internal Medicine | 1814 Westchester Dr Ste 202, High Point, NC 27262-7369 | 2007-04-02 |
| 1477620813 | Heather M Garrison | Internal Medicine | 109 Penny Rd, High Point, NC 27260-2500 | 2006-11-29 |
| 1730193665 | Moogali M Arvind | Internal Medicine | 3604 Peters Ct, High Point, NC 27265 | 2006-07-28 |
| 1376574004 | Premiere Health Care Plus Pa | Internal Medicine | 3750 Admiral Dr Ste 101, High Point, NC 27265-1556 | 2006-07-05 |
| 1801825583 | Jamila Shaheen Bhatti | Internal Medicine | 1701 Westchester Drive, Suite 850, High Point, NC 27262-7254 | 2006-07-03 |
| Find all providers in HIGH POINT | ||||
| City | HIGH POINT |
| Zip Code | 27268 |
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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.