ERIC KYNE HEDRICK


Address: 450 Laurel St, Suite A, Des Moines, IA 50314-3045
Phone: 5152478400

ERIC KYNE HEDRICK (NPI# 1497172027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497172027
Entity Type Individual
Full Name ERIC KYNE HEDRICK
Credential PA-C
Practice Address 450 Laurel St
Suite A
Des Moines
IA 50314-3045
Practice Telephone 5152478400
Practice Fax Number 5152488888
Mailing Telephone 5152478400
Mailing Fax Number 5152488888
Enumeration Date 2014-03-20
Last Update Date 2014-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
072439 IA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
072439 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 450 LAUREL ST
SUITE A
City DES MOINES
State IA
Zip Code 50314-3045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497754691 Michael Howard Munhall Physical Medicine & Rehabilitation 450 Laurel St, Ste A, Des Moines, IA 50314-3045 2005-07-19
1215534474 Carter Trager Physical Therapist 450 Laurel St, Des Moines, IA 50314-3045 2020-10-01
1861911869 Christina Lee Abernathy Specialist/Technologist 450 Laurel St, Des Moines, IA 50314 2017-09-12
1902344377 Tanner Neuberger Physical Therapist 450 Laurel St, Des Moines, IA 50314-3045 2017-02-06
1093258493 Amanda Marchino Contractor 450 Laurel St, Des Moines, IA 50314-3045 2016-12-02
1770026387 Ashley Padget Specialist/Technologist 450 Laurel St, Suite B, Des Moines, IA 50314-3045 2016-11-30
1124560511 Jordyn Lea Weinard Specialist/Technologist 450 Laurel St, Ste B, Des Moines, IA 50314-3045 2016-11-16
1275075673 Kristen Watson Specialist/Technologist 450 Laurel St, Des Moines, IA 50314-3045 2016-11-16
1609318138 Megan Frizzell Specialist 450 Laurel St, Des Moines, IA 50314-3045 2016-11-15
1578005294 Kenan Sarkic Specialist/Technologist 450 Laurel St, Des Moines, IA 50314-3045 2016-11-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982266979 Dental Connections, Inc. Dentist 1111 9th Street, Suite 190, Des Moines, IA 50314 2019-07-01
1760910723 Kelsey Taylor Social Worker 1761 Hickman Rd, Des Moines, IA 50314 2017-06-02
1184085672 Allison J Robbins Counselor 1063 14th Place, Suite A, Des Moines, IA 50314 2016-03-11
1083081715 Taylor Witzel Specialist/Technologist 450 Laurel Street, Des Moines, IA 50314 2015-08-28
1376893933 Caring Hearts LLC In Home Supportive Care 1620 Pleasant, #245, Des Moines, IA 50314 2012-09-11
1104117522 Akinbode Solomon Egbelakin Pediatrics 1111 6th Ave # Main3, Des Moines, IA 50314 2011-04-20
1447488325 Abdelaziz Elhaddad Internal Medicine 95 University Avenue, Suite 1, Des Moines, IA 50314 2009-06-30
1356584080 Tara Michelle Graff Internal Medicine 411 Laurel Street Suite A300, Des Moines, IA 50314 2009-04-10
1700068517 Planned Parenthood of The Heartland Family Medicine 123 Clark Street, Des Moines, IA 50314 2007-12-04
1790903235 Christy J. Meyer Counselor 1063 14th Place, Suite A, Des Moines, IA 50314 2007-04-22
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629140041 Joel E Rand Physician Assistant 411 Laurel St Ste 2100, Des Moines, IA 50314-3026 2006-11-14
1730604125 Laura Schiltz Physician Assistant 1301 Pennsylvania Ave, Des Moines, IA 50316-2350 2017-08-07
1992248744 Jacob Lane Physician Assistant 1111 6th Ave, Des Moines, IA 50314-2613 2016-11-28
1841608551 Amanda M Cleppe Physician Assistant 411 Laurel St, Suite A250, Des Moines, IA 50314-3017 2014-07-25
1497162143 Eric Dolash Physician Assistant 450 Laurel St, Suite A, Des Moines, IA 50314-3045 2014-07-15
1548535503 Brianne K. Larsen Physician Assistant 411 Laurel St Ste 2100, Des Moines, IA 50314-3026 2012-03-09
1669750410 Jared M Carter Physician Assistant 450 Laurel St Ste A, Des Moines, IA 50314-3045 2011-07-28
1235395088 Jeffrey Craig Miller Physician Assistant 1215 Pleasant St Ste 618, Des Moines, IA 50309 2008-07-31
1316024938 Jennifer R Standifer Physician Assistant 411 Laurel St, Suite A250, Des Moines, IA 50314-3017 2006-11-01
1952481863 Michael L Clark Physician Assistant 450 Laurel St, Ste A, Des Moines, IA 50314-3045 2006-10-16
Find all providers in DES MOINES

Competitor

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City DES MOINES
Zip Code 50314

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Dataset Information

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.

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