MARK ALLEN HENDRICKSON (NPI# 1013931484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013931484 |
| Entity Type | Individual |
| Full Name | MARK ALLEN HENDRICKSON |
| Credential | M.D. |
| Practice Address |
Rwbahc, Bldg 45001 Sierra Vista Cboc Ft Huachuca AZ 85613 |
| Mailing Address |
Southern Az Va Health Care Ctr 3601 S. 6th Ave Tucson AZ 85723-0001 |
| Practice Telephone | 5205339407 |
| Practice Fax Number | 5205332568 |
| Mailing Telephone | 5205339407 |
| Mailing Fax Number | 5205332568 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11659 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023328093 | Mark Hendrickson | Counselor | 522 W Black Oak Rd, Nixa, MO 65714-7865 | 2010-10-08 |
| 1619581022 | Mark Andrew Hendrickson | Pharmacist | 120 S Buckeye St, Crooksville, OH 43731-1015 | 2020-09-02 |
| 1568491942 | Mark F Hendrickson | Plastic Surgery | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-06-30 |
| Street Address |
RWBAHC, BLDG 45001 SIERRA VISTA CBOC |
| City | FT HUACHUCA |
| State | AZ |
| Zip Code | 85613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457713794 | Robert Lee Kent Jr. | Registered Nurse | 2240 East Winrow Avenue, Fort Huachuca, AZ 85613 | 2016-03-25 |
| 1548628662 | George Fauber | Licensed Practical Nurse | 224 Winrow Ave, Usa Meddac, Rwbahc, Ft Huachuca, AZ 85613 | 2016-02-03 |
| 1013207810 | Gerald Michael Pastore | Counselor | 2240 Winrow Ave Fort Huachuca, Az, Usa Meddac, Rwbahc, Apo, AA 85613 | 2011-04-13 |
| 1306049895 | Raymond W. Bliss Army Health Center | Clinic/Center | 45005 Arizona Street, Fort Huachuca, AZ 85613 | 2007-06-11 |
| 1477617124 | Raymond W. Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2w Bliss Army Health Center 45001, Ft Huachuca, AZ 85613 | 2006-12-20 |
| 1114026150 | Raymond W Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2 W Bliss Army Health Ctr, Bldg 45001, Ft Huachuca, AZ 85613 | 2006-09-22 |
| 1972538973 | Gail Pielack | Nurse Practitioner | Rwbahc, 2240 Winrow Rd, Fort Huachuca, AZ 85613 | 2006-07-11 |
| 1093755233 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Optical Center, Bldg 52030, Ft. Huachuca, AZ 85613 | 2006-06-07 |
| 1336119395 | Eric Nmi Danko | Dentist | 2240 E. Winrow Ave, Us Army Dental Activity, Fort Huachuca, AZ 85613 | 2006-01-24 |
| 1245855410 | Kevin Matthew Farley | Dentist | 2240 E. Winrow Ave, Fort Huachuca, AZ 85613 | 2020-06-12 |
| Find all providers in zip 85613 | ||||
| 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 |
|---|---|---|---|---|
| 1376141598 | Bassi Clinic Pllc | Internal Medicine | 14175 W Indian School Rd Ste B4-139, Goodyear, AZ 85395-8407 | 2020-10-09 |
| 1841801735 | Usaholistics | Internal Medicine | 6614 E Aster Dr, Scottsdale, AZ 85254-4549 | 2020-08-13 |
| 1902415011 | Aims-az-med, LLC | Internal Medicine | 1346 E Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-07-24 |
| 1396363594 | Cabaluna Medical Pllc | Internal Medicine | 2001 Excellence Way Ste 200, Prescott, AZ 86301-8410 | 2020-07-14 |
| 1285252510 | Sun City Internal Medicine Pllc | Internal Medicine | 10503 W Thunderbird Blvd Ste 108, Sun City, AZ 85351-3047 | 2020-07-13 |
| 1619598398 | Ur Doc, LLC | Internal Medicine | 1847 E. Southern Ave., #4, Tempe, AZ 85282-5881 | 2020-05-04 |
| 1427679406 | Mario Jaramillo | Internal Medicine | 2800 East Ajo Way Ste 100, Tucson, AZ 85724-5040 | 2020-05-01 |
| 1326676800 | Arizona Physicians Group | Internal Medicine | 13771 N Fountain Hills Blvd # 114-146, Fountain Hills, AZ 85268-3762 | 2020-03-30 |
| 1245865096 | Cleanslate Medical Group of Arizona Pllc | Internal Medicine | 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 | 2020-03-11 |
| 1821633926 | Arunmozhi Dominic | Internal Medicine | 899 N Wilmot Rd # Az, Tucson, AZ 85711-1714 | 2019-11-12 |
| Find all providers with the same taxonomy | ||||
| City | FT HUACHUCA |
| Zip Code | 85613 |
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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.