SARAH HENDRICKSON (NPI# 1457719049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457719049 |
| Entity Type | Individual |
| Full Name | SARAH HENDRICKSON |
| Credential | PA-C |
| Practice Address |
3821 Ed Dr Raleigh NC 27612-8038 |
| Practice Telephone | 9197588677 |
| Mailing Telephone | 9197588677 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-06277 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295832442 | Sarah Shideler Hendrickson | Family Medicine | 135 E 6th Ave, Eugene, OR 97401-2618 | 2006-09-20 |
| 1487180204 | Sarah Hendrickson | Counselor | 245 Barclay Ave, Unit 101, Pine River, MN 56474-5174 | 2017-05-11 |
| 1023419041 | Sarah Hendrickson | Nurse Practitioner | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2014-09-09 |
| 1538589643 | Sarah Elizabeth Hendrickson | Obstetrics & Gynecology | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2014-04-16 |
| 1013352277 | Sarah Elyse Hendrickson | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-05-01 |
| Street Address |
3821 ED DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891786091 | John Victor Kaspar | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2005-11-04 |
| 1083174742 | Hildegarde Michel Perry | Registered Nurse | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2019-03-20 |
| 1952867095 | Associated Urologists of North Carolina Pa | Non-Pharmacy Dispensing Site | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2019-02-13 |
| 1497110498 | Chelsea Zurl | Physician Assistant | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2015-12-18 |
| 1689896219 | Daniel Khera-mcrackan | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2007-05-03 |
| 1861504318 | Scott D Baker | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2006-08-31 |
| 1295741726 | Joseph D. Neighbors Jr. | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2006-08-01 |
| 1326054859 | Mark W Jalkut | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2006-08-01 |
| 1104843556 | Timothy Paul Bukowski | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2006-07-15 |
| 1780624411 | Stephen F Shaban | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407170079 | Stephanie Solosko | Physician Assistant | 8238 Primanti Blvd, Raleigh, NC 27612-7413 | 2010-03-25 |
| 1386817203 | Katherine Noland Sherron | Physician Assistant | 10941 Raven Ridge Rd Ste 103, Raleigh, NC 27614-6487 | 2008-04-11 |
| 1053430652 | Sharon Ann Mowrey | Physician Assistant | 3333 Clandon Park Dr, Raleigh, NC 27613-8841 | 2007-03-28 |
| 1306907043 | Roshni Patel Mapp | Physician Assistant | Duke Thoracic Surgery of Raleigh, 3404 Wake Forest Rd, Suite 201, Raleigh, NC 27609 | 2006-12-13 |
| 1437186152 | Rita Marie Langworth-brewer | Physician Assistant | 3737 Glenwood Ave, Raleigh, NC 27612-5515 | 2006-06-27 |
| 1033716634 | Sarah Petty Butler | Physician Assistant | 5838 Six Forks Rd Ste 100, Raleigh, NC 27609-3893 | 2020-10-06 |
| 1043829534 | Samantha Talbot Brown | Physician Assistant | 4509 Creedmoor Rd Ste 201, Raleigh, NC 27612-3813 | 2020-07-30 |
| 1093361859 | Kirsten Sinclair Renz | Physician Assistant | 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609-7300 | 2019-08-16 |
| 1265087076 | Lauren Wells Queen | Physician Assistant | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | 2019-08-08 |
| 1730734211 | Shea Tryon Whittaker | Physician Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-08-02 |
| Find all providers in RALEIGH | ||||
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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.