JOHN GEORGE HETRICK (NPI# 1346859824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346859824 |
| Entity Type | Individual |
| Full Name | JOHN GEORGE HETRICK |
| Practice Address |
51310 Timber Bay Ct. Homer AK 99603 |
| Practice Telephone | 9072354732 |
| Mailing Telephone | 9072354732 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
51310 TIMBER BAY CT. |
| City | HOMER |
| State | AK |
| Zip Code | 99603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| 1063741817 | Kostas Taxi Service | Private Vehicle | 235 Lee Drive, Homer, AK 99603 | 2009-12-08 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1285251397 | Elmer Eugene Johnson | Counselor | 184 Cityview Ave, Homer, AK 99603-7017 | 2020-07-06 |
| 1861769895 | Mackenzie Sarah Bentley | Counselor | 408 Maple St, Homer, MI 49245-8417 | 2011-11-18 |
| 1396991493 | Tess Dally | Counselor | 3691 Ben Walters Ln, Homer, AK 99603-7750 | 2008-08-08 |
| 1902410251 | Alexander Matthew Johnson | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-09-03 |
| 1568072858 | Colten Lewis Johnson | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-08-03 |
| 1235749524 | Andrew Tomey | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-08-03 |
| 1356969166 | Robert Wade Walker | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-07-08 |
| 1598383317 | Joseph Earl Perkins | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-07-08 |
| 1053939868 | Stewart Daffron | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-07-08 |
| Find all providers in HOMER | ||||
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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.