JOHN D HENDRIX JR. (NPI# 1558341578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558341578 |
| Entity Type | Individual |
| Full Name | JOHN D HENDRIX JR. |
| Credential | MD |
| Practice Address |
902 E Jefferson St Suite 201 Charlottesville VA 22902-5397 |
| Mailing Address |
Po Box 826696 Philadelphia PA 19182-6696 |
| Practice Telephone | 4349797700 |
| Practice Fax Number | 4349797715 |
| Mailing Telephone | 4349797700 |
| Mailing Fax Number | 4349797700 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
0101045705 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538283718 | John Walter Hendrix IIi | Internal Medicine | 408 West Alexander Avenue, Greenwood, SC 29646-4031 | 2007-03-16 |
| 1558339135 | John Perry Hendrix | Optometrist | 730 Northside Dr E, Statesboro, GA 30458-4766 | 2006-03-09 |
| 1356466593 | John Hendrix | Physical Therapist | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2007-03-20 |
| 1316055452 | John C Hendrix | Internal Medicine | 1722 Pine St, Suite 402, Montgomery, AL 36106-1103 | 2006-08-28 |
| 1750327581 | John Robert Hendrix | Internal Medicine | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2006-06-21 |
| 1215991104 | John Scott Hendrix | Optometrist | 223 Main St, Vincennes, IN 47591-1208 | 2006-04-17 |
| Street Address |
902 E JEFFERSON ST SUITE 201 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-5397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441897 | Dermatologic Surgery of Central Virginia Plc | Dermatology | 902 E Jefferson St, Suite 201, Charlottesville, VA 22902-5397 | 2006-01-13 |
| 1659562841 | Jennifer Sara Tromberg | Dermatology | 902 E Jefferson St, Suite 201, Charlottesville, VA 22902-5397 | 2007-08-05 |
| 1619938792 | Rebecca Schock | Physical Therapist | 902 E Jefferson St, Charlottesville, VA 22902-5397 | 2006-03-29 |
| 1871573584 | Cynthia M. Yoshida Md Plc | Internal Medicine | 902 E Jefferson St, Suite 201, Charlottesville, VA 22902-5397 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699927129 | Harry Leslie Parlette IIi | Dermatology | 125 Terrell Rd E, Charlottesville, VA 22901-2166 | 2008-10-15 |
| 1669561791 | Advanced Dermatology of Charlottesville, Plc | Dermatology | 600 Peter Jefferson Parkway Suite 350, Charlottesville, VA 22911 | 2006-10-12 |
| 1568441897 | Dermatologic Surgery of Central Virginia Plc | Dermatology | 902 E Jefferson St, Suite 201, Charlottesville, VA 22902-5397 | 2006-01-13 |
| 1659562841 | Jennifer Sara Tromberg | Dermatology | 902 E Jefferson St, Suite 201, Charlottesville, VA 22902-5397 | 2007-08-05 |
| 1770546517 | Vandana Sood Nanda | Dermatology | 600 Peter Jefferson Pkwy, Suite 350, Charlottesville, VA 22911-8608 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578129599 | Metro Mohs Surgery Center, LLC | Dermatology | 5501 Backlick Rd Ste 120, Springfield, VA 22151-3940 | 2019-05-15 |
| 1578722260 | Soonyou Kwon | Dermatology | 8100 Boone Blvd Ste 300, Vienna, VA 22182-2642 | 2008-06-06 |
| 1457483869 | Martha L Wilson Md Pa | Dermatology | 104 E Stuart Dr, Galax, VA 24333-2119 | 2007-03-12 |
| 1063524593 | Oyster Point Dermatology Inc | Dermatology | 11844 Rock Landing Dr Ste B, Newport News, VA 23606-4202 | 2006-08-31 |
| 1275586190 | Amir Bajoghli | Dermatology | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3666 | 2006-05-19 |
| 1003440355 | Absolute Dermatology P.C. | Dermatology | 5207 Hickory Park Dr Ste A, Glen Allen, VA 23059-2624 | 2020-02-26 |
| 1053944652 | Forefront Dermatology, S.c. | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2020-02-21 |
| 1891169975 | Forefront Dermatology, S.c. | Dermatology | 8301 Old Courthouse Rd, Vienna, VA 22182 | 2015-11-30 |
| 1518376086 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 721 Fairfax Ave, Suite 200, Norfolk, VA 23507-2007 | 2014-08-08 |
| 1750703666 | Dermatologic and Mohs Surgery Consultants LLC | Dermatology | 101 Candlewood Ct, Suite 201, Lynchburg, VA 24502-2654 | 2014-01-11 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
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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.