BENJAMIN L HENDRICKS (NPI# 1477075950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477075950 |
| Entity Type | Individual |
| Full Name | BENJAMIN L HENDRICKS |
| Credential | AU.D. |
| Practice Address |
603 Clifty Dr Madison IN 47250-1610 |
| Mailing Address |
3105 Middle Dr Ste B Columbus IN 47203-4472 |
| Practice Telephone | 8122736262 |
| Practice Fax Number | 8122731915 |
| Mailing Telephone | 8123721886 |
| Mailing Fax Number | 8123728156 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 23002629A | IN | Speech, Language and Hearing Service Providers |
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
23002629A | IN | Speech, Language and Hearing Service Providers |
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
23002629A | IN | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 23002629A | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA PROFESSIONAL LICENSING AGENCY | 23002629A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3105 Middle Dr Ste B, Columbus, IN 472034472 | 8123721886 | 8123728156 |
| 905 W Keegans Way Ste 11, Greensburg, IN 472403403 | 8126635163 | 8126632732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193534 | Benjamin Hendricks | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-06-19 |
| 1295180461 | Benjamin Kevin Hendricks | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2016-04-25 |
| Street Address |
603 CLIFTY DR |
| City | MADISON |
| State | IN |
| Zip Code | 47250-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475960 | A & A Business Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 603 Clifty Dr, Madison, IN 47250 | 2006-04-11 |
| 1477747525 | Hearing Wellness Center | Audiologist | 603 Clifty Dr, Madison, IN 47250-1610 | 2007-08-31 |
| 1841388808 | Kimberly Duncan Bowen | Audiologist | 603 Clifty Dr, Madison, IN 47250-1610 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784390 | Tiffany B Langham | Audiologist | 401 Baptist Dr Ste 204, Madison, MS 39110-2011 | 2017-08-02 |
| 1417139304 | Melissa B. Haynes | Audiologist | 927 Franklin Street, Suite 100, Madison, AL 35801-0000 | 2007-12-03 |
| 1043305451 | Michael Alan Scholin | Audiologist | 27 Waterford Cir, Madison, WI 53719-1588 | 2006-10-03 |
| 1649363102 | Mary Rebecca Foster | Audiologist | 132 Bridge Water Drive, Madison, MS 39110 | 2006-10-02 |
| 1922071083 | Jon C Douglas | Audiologist | 1975 Willow Dr, University of Wisconsin Speech and Hearing Clinic, Madison, WI 53706-1103 | 2006-02-09 |
| 1366042509 | Kaitlin Nicole Walsh | Audiologist | 598 Grand Canyon Dr, Madison, WI 53719-1033 | 2020-10-27 |
| 1205444262 | Hannah Elizabeth Kostrzewski | Audiologist | 1994 Gallatin Pike N Ste 200, Madison, TN 37115-2024 | 2020-07-16 |
| 1518508639 | Sara Misurelli | Audiologist | 600 Highland Ave, Madison, WI 53792-0001 | 2019-09-30 |
| 1962064311 | Eric Lee Brown | Audiologist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2019-07-07 |
| 1326561721 | Kasi Cassandra Saucier | Audiologist | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2017-07-18 |
| Find all providers in MADISON | ||||
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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.