HOLLY M HENDRICKSON


Address: 6820 Parkdale Pl, Suite 100, Indianapolis, IN 46254-6601
Phone: 3172977773

HOLLY M HENDRICKSON (NPI# 1699733592) 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) 1699733592
Entity Type Individual
Full Name HOLLY M HENDRICKSON
Credential MD
Practice Address 6820 Parkdale Pl
Suite 100
Indianapolis
IN 46254-6601
Practice Telephone 3172977773
Practice Fax Number 3172973619
Mailing Telephone 3172977773
Mailing Fax Number 3172973619
Enumeration Date 2006-05-02
Last Update Date 2017-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 01039366A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100380500 05
IN ANTHEM 000000218625 01

Other Providers HOLLY HENDRICKSON

NPI Name Taxonomy Address Enumeration
1700083987 Holly Hendrickson Physical Therapy Assistant 400 N 7th St, Marietta, OH 45750-2024 2007-06-29

Office Location

Street Address 6820 PARKDALE PL
SUITE 100
City INDIANAPOLIS
State IN
Zip Code 46254-6601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285603886 Stephen F Eberwine Internal Medicine 6820 Parkdale Pl, Suite 200, Indianapolis, IN 46254-6601 2006-03-16
1114375052 Fatema Sabri Alqudaihi Dentist 6820 Parkdale Pl, Indianapolis, IN 46254-6601 2016-06-01
1053561928 Eagle Creek Dermatology Dermatology 6820 Parkdale Pl, Suite 211, Indianapolis, IN 46254-6600 2008-09-26
1164692968 Wilshire Medical P.C. Obstetrics & Gynecology 6820 Parkdale Pl, Ste 212, Indianapolis, IN 46254-6601 2008-03-07
1245408111 Kelley G Rogers Nurse Practitioner 6820 Parkdale Pl, Suite 212, Indianapolis, IN 46254-6601 2008-02-13
1417125386 Sandra K Vanwye Nurse Practitioner 6820 Parkdale Pl, Suite 212, Indianapolis, IN 46254-6601 2008-02-13
1790964914 Indiana Mothers' Milk Bank, Inc Durable Medical Equipment & Medical Supplies 6820 Parkdale Pl, Suite 109, Indianapolis, IN 46254-6601 2007-10-25
1184844698 American Health Network of Indiana, LLC Durable Medical Equipment & Medical Supplies 6820 Parkdale Pl, Suite 105, Indianapolis, IN 46254-6601 2007-04-26
1376668780 American Health Network of Indiana, LLC Psychiatry & Neurology 6820 Parkdale Pl, Suite 105, Indianapolis, IN 46254-6601 2007-03-21
1992842363 Samia R Shaikh- Milharcic Dentist 6820 Parkdale Pl, Suite 117, Indianapolis, IN 46254-6601 2007-02-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427673052 Sanders Empowerment Services LLC Social Worker 5026 Clarkson Drive, Indianapolis, IN 46254 2020-06-09
1316587660 Yulisa Carrera-ochoa Behavior Technician 6925 Parkdale Place, Indianapolis, IN 46254 2020-01-14
1396230140 Emeri Taivalkoski Registered Nurse Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 2018-06-25
1811499759 Sara Peterson Speech-Language Pathologist 4102 Shore Drive, Indianapolis, IN 46254 2018-03-07
1427560002 Swan Garden Home Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4906 Quail Ridge Ln, Indianapolis, IN 46254 2017-11-03
1477083475 Sherry Mason Counselor 5959 Staffordshire Cir, Indianapolis, IN 46254 2017-06-13
1790111680 The Health and Hospital Corporation of Marion County Pharmacy 5515 W 38th St Ste 1200, Indianapolis, IN 46254 2013-09-24
1790051563 Theracare Skilled Nursing Facility 5356 Holly Springs Ct, Indianapolis, IN 46254 2012-03-27
1750659827 Apollon Counselor 5362 Deer Creek Drive, Indianapolis, IN 46254 2011-12-05
1235413253 Irene Williams Pharmacist 6269 W. 38th St, Indianapolis, IN 46254 2011-10-10
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073125225 Relymd Medical Group In, LLC Family Medicine 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 2020-08-19
1134765993 Basil Vareldzis Family Medicine 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 2019-11-26
1366084329 Rebekah Venable Family Medicine 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 2019-10-11
1710455738 Physicians Wellness Associates LLC Family Medicine 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 2018-11-07
1386150043 Brengle Family Medicine Family Medicine 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 2017-12-18
1164937249 Amy Cheung Family Medicine 6484 N Chester Ave, Indianapolis, IN 46220-4422 2017-12-11
1578017182 Medical Specialty LLC Family Medicine 2301 N Meridian St, Indianapolis, IN 46208-5729 2016-08-11
1245685742 Christopher Basom Family Medicine 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 2016-05-03
1760846877 Catherine Gambale Trigonis Family Medicine 404 E Washington St Ste A, Indianapolis, IN 46204 2016-04-06
1205204203 Community Health Network Family Medicine 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 2015-09-08
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Competitor

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City INDIANAPOLIS
Zip Code 46254

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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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