ROBERT S. HENDRICK JR. (NPI# 1750313896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750313896 |
| Entity Type | Individual |
| Full Name | ROBERT S. HENDRICK JR. |
| Credential | M.D. |
| Practice Address |
309 Jackson St Monroe LA 71201-7407 |
| Mailing Address |
3510 N Causeway Blvd Suite 404 Metairie LA 70002-3531 |
| Practice Telephone | 3189665187 |
| Practice Fax Number | 3183293955 |
| Mailing Telephone | 5047795515 |
| Mailing Fax Number | 5047795568 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 016337 | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1340162 | 05 |
| Street Address |
309 JACKSON ST |
| City | MONROE |
| State | LA |
| Zip Code | 71201-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524367 | Stephen Paul Blanchard Sr. | Pathology | 309 Jackson St, Monroe, LA 71201-7407 | 2005-08-10 |
| 1255949921 | Shannon L Moe | Registered Nurse | 309 Jackson St, Monroe, LA 71201-7407 | 2020-07-20 |
| 1134756539 | Carolinska Health Corporation | Family Medicine | 309 Jackson St, Monroe, LA 71201-7407 | 2020-03-25 |
| 1649833583 | Ken Gremillion | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-16 |
| 1891257515 | Ainsley L Manning | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-02 |
| 1295216018 | Andrew Michael Fontenot | Pharmacist | 309 Jackson St, Monroe, LA 71201-7407 | 2018-08-29 |
| 1982180337 | Amber Brooke Etheridge | Registered Nurse | 309 Jackson St, Monroe, LA 71201 | 2018-07-18 |
| 1578070363 | Fmol Health Systems | Pharmacy | 309 Jackson St, Floor 1, Monroe, LA 71201-7407 | 2018-01-03 |
| 1104336460 | Harikrishna Bandla | Internal Medicine | 309 Jackson St, Monroe, LA 71201-7407 | 2017-10-01 |
| 1285156760 | Trisandhya Sharma | Hospitalist | 309 Jackson St, Monroe, LA 71201-7407 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902430846 | Pessy Rolnitzky | Specialist | 453 County Route 105, Monroe, NY 10950-3136 | 2020-03-01 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1902329055 | Martha Klein | Specialist | 412 High St, Monroe, NY 10950-1511 | 2017-07-20 |
| 1972053023 | Rochelle Matlofsky | Specialist | 71 Lincoln Rd, Monroe, NY 10950-5005 | 2016-10-12 |
| 1497200943 | Carteret Comprehensive Medical Care, P.C. | Specialist | 320 Spotswood Englishtown Rd, Monroe, NJ 08831-8651 | 2016-08-24 |
| 1457723728 | Craig Hertz | Specialist | 15881 Lords Lake Ave Se, Monroe, WA 98272-2860 | 2015-10-27 |
| 1295128346 | Anna Adler | Specialist | 5 Briarwood Ave, Monroe, NY 10950-3105 | 2015-03-13 |
| 1417347337 | Laurie C. Laufer | Specialist | 72 Lake Region Blvd, Monroe, NY 10950-1142 | 2015-01-30 |
| 1134526031 | A Plus Center | Specialist | 8 Lemberg Ct, 003, Monroe, NY 10950-5713 | 2014-11-21 |
| 1477961100 | Letissha M Drake | Specialist | 1969 Old Charlotte Hwy Ste E, Monroe, NC 28110-9151 | 2014-07-25 |
| Find all providers in MONROE | ||||
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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.