RYAN MATTHEW HENDRICKER (NPI# 1316163066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316163066 |
| Entity Type | Individual |
| Full Name | RYAN MATTHEW HENDRICKER |
| Credential | M.D. |
| Practice Address |
304 10th Ave Ne Hickory NC 28601-3883 |
| Mailing Address |
8600 N. Rt. 91 Suite 300 Peoria IL 61615 |
| Practice Telephone | 8283222183 |
| Mailing Telephone | 3096916616 |
| Mailing Fax Number | 3096912943 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 2018-01301 | NC | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 36.125963 | IL | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 57.010493 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8600 State Route 91, Suite 300, Peoria, IL 616159541 | 3096916616 | 3096912943 |
| Street Address |
304 10TH AVE NE |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-3883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629062641 | Dawn E De Neef | Otolaryngology | 304 10th Ave Ne, Hickory, NC 28601-3834 | 2005-09-06 |
| 1326657552 | Emilee Victoria Tucker | Audiologist | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2020-07-23 |
| 1346806528 | Eileen Clark | Audiologist | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2019-05-14 |
| 1295398618 | Kali Mackenzie Boyle | Audiologist | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2019-04-22 |
| 1972078335 | Victoria Ioan Ingle | Physician Assistant | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2018-10-11 |
| 1386141828 | Ashley Baughman | Audiologist | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2018-04-11 |
| 1891222089 | Julia Helen Mcdowell | Audiologist | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2017-05-18 |
| 1003369760 | Sara C Mooney | Audiologist | 304 10th Ave Ne, Hickory, NC 28601 | 2016-07-29 |
| 1689964728 | Delbert F Ault | Audiologist | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2011-04-11 |
| 1528215381 | Michelle P. Smith | Audiologist | 304 10th Ave Ne, Hickory, NC 28601-3834 | 2008-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629062641 | Dawn E De Neef | Otolaryngology | 304 10th Ave Ne, Hickory, NC 28601-3834 | 2005-09-06 |
| 1407054760 | David E Melon | Otolaryngology | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2007-07-10 |
| 1154527976 | Jamey Lynn Cost | Otolaryngology | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2007-06-27 |
| 1598865438 | Matthew D Ellison | Otolaryngology | 1781 Tate Blvd Se, Suite 201, Hickory, NC 28602-4251 | 2006-09-22 |
| 1134182413 | William Andrew Jarrett | Otolaryngology | 304 10th Ave Ne, Hickory, NC 28601-3834 | 2006-04-08 |
| 1528020732 | Graystone Ear, Nose and Throat Associates, Pa | Otolaryngology | 1781 Tate Blvd Se, Suite 201, Hickory, NC 28602-4233 | 2006-04-04 |
| 1013979426 | Frank W. Mauldin | Otolaryngology | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2006-04-03 |
| 1174584932 | Robert C. Williams | Otolaryngology | 304 10th Ave Ne, Hickory, NC 28601-3883 | 2006-03-31 |
| 1649239732 | Roger Dale Cole | Otolaryngology | 304 10th Ave Ne, Hickory, NC 28601-3834 | 2006-03-20 |
| 1326032350 | James L. Darsie | Otolaryngology | 304 10th Ave Ne, Hickory, NC 28601-3834 | 2005-09-06 |
| Find all providers in HICKORY | ||||
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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.