DR. SUSAN K HENDRICKS (NPI# 1730169186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730169186 |
| Entity Type | Individual |
| Full Name | DR. SUSAN K HENDRICKS |
| Credential | MD |
| Practice Address |
590 15th St S Apt 145 Arlington VA 22202-2872 |
| Practice Telephone | 7034180234 |
| Mailing Telephone | 7034180234 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2017-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
304262 | LA | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
4201042151 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4504927 | 05 | |
| MI | RAILROAD MEDICARE | CA2184 | 01 |
| LA | 2433610 | 05 | |
| MS | 06979534 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174593859 | Susan L Hendricks | Psychiatry & Neurology | Unit 15244 Box 3, Usameddac-korea, Apo, AP 96205-5244 | 2006-01-25 |
| 1023152253 | Susan Spangler Hendricks | Social Worker | 600 King St, Columbia, SC 29205-2313 | 2007-02-19 |
| Street Address |
590 15TH ST S APT 145 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22202-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265740781 | Aragon Ellwanger | Dentist | 590 15th St S, 436, Arlington, VA 22202-2872 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291474 | Gail Devonna Johnson | Home Health Aide | 2611 S Clark St Suite 700, Arlington, VA 22202 | 2020-10-06 |
| 1194331835 | Keylah Cherri Adams | Home Health Aide | 2611 South Clark Street Suite 700, Arlington, VA 22202 | 2020-09-18 |
| 1902412927 | Briggitte Marie Bradley | Home Health Aide | 2611 S Clark St. Suite 700, Arlington, VA 22202 | 2020-09-16 |
| 1730793027 | Regina Ray | Home Health Aide | 2611 South Clark Street, St.700, Arlington, VA 22202 | 2020-09-03 |
| 1255944328 | Elizabeth Ann Mayes Gross | Home Health Aide | 2611 S. Clark Street, 700, Arlington, VA 22202 | 2020-08-28 |
| 1942826425 | Maria Eugenia Flores | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-22 |
| 1013531250 | Alistair Taylor | Student in an Organized Health Care Education/Training Program | Potomac Behavioral Solutions, 2001 Richmond Highway, Suite 800, Arlington, VA 22202 | 2020-06-03 |
| 1194349399 | Solange Abel Anagho | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-03 |
| 1083256028 | Home Is Love Home Healthcare, LLC | Home Health | 575 12th Road S, Apt 231, Arlington, VA 22202 | 2019-10-10 |
| 1619521150 | Sarah Elizabeth Young | Physician Assistant | 1601 23rd St S, Arlington, VA 22202 | 2019-08-01 |
| Find all providers in zip 22202 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538496807 | Vanaja Nandini Alexander | Pediatrics | 3708 5th St S, Arlington, VA 22204-1681 | 2009-11-06 |
| 1093769747 | Scott Christopher Tisdell | Pediatrics | 800 W Randol Mill, Arlington, TX 76012 | 2006-05-19 |
| 1942316468 | Arlington Neonatology Group, P.C. | Pediatrics | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2006-08-21 |
| 1396756136 | Helen Z Yoon | Pediatrics | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2006-08-10 |
| 1801805890 | Christopher A. Hultzen | Pediatrics | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2006-08-07 |
| 1760499248 | Donna Tildon-archer | Pediatrics | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2006-08-01 |
| 1356355283 | Beatriz Runkle | Pediatrics | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649679754 | Wayne E Hachey | Pediatrics | 11 Laurel Ct, Nellysford, VA 22958-9554 | 2014-08-14 |
| 1942644588 | Shajeer Noorudeen | Pediatrics | 1000 E Broad St # 5-104, Richmond, VA 23219-1930 | 2013-04-25 |
| 1437415833 | Oleksandr Mikhailovich Kudin | Pediatrics | 1506 Willow Lawn Dr Ste 205, Richmond, VA 23230-3418 | 2012-04-10 |
| 1598050239 | Valerie Atienza Navarrete | Pediatrics | 13509 Leith Ct, Chantilly, VA 20151 | 2011-06-10 |
| 1699065425 | Jing Fang | Pediatrics | Inova Children's Hospital Nicu, 3300 Gallows Rd, Falls Church, VA 22042 | 2011-04-13 |
| 1952691164 | Melissa Lindsey Macomber-estill | Pediatrics | 4320 Seminary Rd # 3000, Alexandria, VA 22304-1535 | 2011-04-10 |
| 1780914085 | Pediatrix Newborn Hearing Screen LLC | Pediatrics | 4991 Lake Brook Dr, Suite 300, Glen Allen, VA 23060-9290 | 2010-01-08 |
| 1679734412 | Harsh Datta | Pediatrics | 1001 Sam Perry Blvd, 3rd Floor Neonatology Office, Fredericksburg, VA 22401 | 2008-06-24 |
| 1932385606 | Tetyana H Nesterenko | Pediatrics | 5980 Richmond Hwy Apt 1-214, Alexandria, VA 22303-2739 | 2008-01-12 |
| 1174688592 | Jay Michael Dintaman | Pediatrics | 5960 9th St, Building 1260, Room 228, Fort Belvoir, VA 22060-5509 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
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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.