DR. JERRY ALLEN HEDRICK (NPI# 1316008766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316008766 |
| Entity Type | Individual |
| Full Name | DR. JERRY ALLEN HEDRICK |
| Credential | D.C. |
| Practice Address |
1658 Pleasure House Rd Suite 104 Virginia Beach VA 23455-4051 |
| Practice Telephone | 7574645300 |
| Practice Fax Number | 7574645445 |
| Mailing Telephone | 7574645300 |
| Mailing Fax Number | 7574645445 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104555725 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 176572 | 01 |
| VA | OPTIMA | 1037632 | 01 |
| VA | ASHN | JH1037632 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164457412 | Jerry Leo Hedrick | Dermatology | 500 Vonderburg Drive, Ste 115w, Brandon, FL 33511-5969 | 2006-07-12 |
| Street Address |
1658 PLEASURE HOUSE RD SUITE 104 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790170876 | Dr Brian Scott LLC | Chiropractor | 1658 Pleasure House Rd, #104, Virginia Beach, VA 23455-4051 | 2015-04-06 |
| 1033233184 | James Wesley Anderson Jr. | Dentist | 1658 Pleasure House Rd, Suite 105, Virginia Beach, VA 23455-4051 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254084 | Jamie L Sullivan | Chiropractor | 4532 Bonney Rd Ste D, Virginia Beach, VA 23462-3870 | 2020-08-06 |
| 1831733310 | Kenneth Ross Ellul | Chiropractor | 2236 General Booth Blvd Ste 110, Virginia Beach, VA 23456-4092 | 2019-10-29 |
| 1376190520 | Ralph Nebling | Chiropractor | 917 Horseshoe Ct, Virginia Beach, VA 23451-5924 | 2019-08-22 |
| 1659934891 | Krista Frank | Chiropractor | 4640 Shore Dr Ste 108, Virginia Beach, VA 23455-2859 | 2019-04-14 |
| 1518455484 | Scott M. Ponquinette | Chiropractor | 633 Independence Blvd Ste A, Virginia Beach, VA 23462-2200 | 2018-04-26 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1245756717 | Adam Blower | Chiropractor | 1932 Kempsville Rd Ste 103, Virginia Beach, VA 23464-6954 | 2017-08-16 |
| 1700226610 | Lightkeeper Chiropractic Pllc | Chiropractor | 325 First Colonial Rd, Suite A, Virginia Beach, VA 23454-4665 | 2013-06-25 |
| 1871837294 | Justin Quail LLC | Chiropractor | 4740 Baxter Rd Ste 109, Virginia Beach, VA 23462-4484 | 2012-11-26 |
| 1134463730 | Parmiter Inc | Chiropractor | 5072 Ferrell Pkwy, Virginia Beach, VA 23464-8894 | 2012-11-20 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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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.