JOHN CHAPPELL HENDRICK (NPI# 1205811957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205811957 |
| Entity Type | Individual |
| Full Name | JOHN CHAPPELL HENDRICK |
| Credential | PA |
| Practice Address |
4212 W Congress St Suite 3200 Lafayette LA 70506-6765 |
| Practice Telephone | 3372732863 |
| Practice Fax Number | 3379845428 |
| Mailing Telephone | 3372732863 |
| Mailing Fax Number | 3379845428 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2009-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
A10268 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1624799 | 05 | |
| LA | RR MEDICARE | 970014804 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508889460 | John Preston Hendrick | Psychiatry & Neurology | 116a Sidney and Lamont Streets, Mountain Home Vamc, Mountain Home, TN 37684 | 2006-07-25 |
| 1780002261 | John Michael Hendrick | Emergency Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2014-04-02 |
| 1528021896 | John Hampton Hendrick Jr. | Physician Assistant | 2180 Henry Tecklenburg Dr, Charleston, SC 29414 | 2006-04-08 |
| Street Address |
4212 W CONGRESS ST SUITE 3200 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-6765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469377 | Esmond Anthony Barker | Internal Medicine | 4212 W Congress St, Suite 1800 A, Lafayette, LA 70506-6765 | 2005-07-07 |
| 1891144473 | Lafayette Health Ventures, Inc | Surgery | 4212 W Congress St, Lafayette, LA 70506-6765 | 2016-06-06 |
| 1285933168 | Barkers Cardiovascular Center LLC | Internal Medicine | 4212 W Congress St, Ste 1800 A, Lafayette, LA 70506-6765 | 2011-03-18 |
| 1346564366 | Keri Copponex | Anesthesiology | 4212 W Congress St, Lafayette, LA 70506-6765 | 2010-03-19 |
| 1114255965 | Myers Dermatology LLC | Dermatology | 4212 W Congress St, Suite 1430, Lafayette, LA 70506-6765 | 2009-12-04 |
| 1518191311 | Ochsner Clinic LLC | General Practice | 4212 W Congress St, Lafayette, LA 70506-6765 | 2009-05-07 |
| 1356589444 | Ochsner Clinic LLC | General Practice | 4212 W Congress St, Suite 3600, Lafayette, LA 70506-6765 | 2009-01-27 |
| 1104063403 | Neurosurgical Solutions of Lafayette LLC | Neurological Surgery | 4212 W Congress St, Ste 3500, Lafayette, LA 70506-6765 | 2009-01-08 |
| 1689819898 | Southwest Medical Center Surgical Group, LLC | Orthopaedic Surgery | 4212 W Congress St, Suite 3200, Lafayette, LA 70506-6765 | 2008-12-03 |
| 1245482868 | Terri H Frederick | Massage Therapist | 4212 W Congress St, Ste. 3200, Lafayette, LA 70506-6765 | 2008-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
| 1285895060 | Jennifer Menard Piker | Physician Assistant | 605 Silverstone Road, Suite 100, Lafayette, LA 70508 | 2008-06-24 |
| 1013019108 | Tabatha Alma Tomajko | Physician Assistant | 300 Exempla Circle, Suite 360, Bluestone Advanced Surgical Care, Lafayette, CO 80026 | 2006-09-01 |
| 1437134707 | Cal Anthony Domingue | Physician Assistant | 5000 Ambassador Caffery Pkwy Bldg 14a, Lafayette, LA 70508-6984 | 2005-12-09 |
| 1811997075 | James R. Redmond Sr. | Physician Assistant | 601 W Saint Mary Blvd, Ste 308, Lafayette, LA 70506-3568 | 2005-07-28 |
| 1326694076 | Nathan J Ambrose | Physician Assistant | 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 | 2019-08-16 |
| 1720536618 | Richard Davis | Physician Assistant | 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 | 2016-09-20 |
| 1205218914 | Amanda Murray | Physician Assistant | 3900 St Francis Way Ste 201, Lafayette, IN 47905-4923 | 2015-06-18 |
| 1245666254 | Emily Renee Thibodaux | Physician Assistant | 1103 Kaliste Saloom Rd, Suite 206, Lafayette, LA 70508-5783 | 2013-09-23 |
| Find all providers in LAFAYETTE | ||||
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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.