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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 01039366A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100380500 | 05 | |
IN | ANTHEM | 000000218625 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700083987 | Holly Hendrickson | Physical Therapy Assistant | 400 N 7th St, Marietta, OH 45750-2024 | 2007-06-29 |
Street Address |
6820 PARKDALE PL SUITE 100 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46254-6601 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 46254 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46254 |
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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.