KATHRYN W HENDRICKSON (NPI# 1750730743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750730743 |
| Entity Type | Individual |
| Full Name | KATHRYN W HENDRICKSON |
| Credential | MD |
| Practice Address |
26 N 1900 E Salt Lake City UT 84132-0002 |
| Practice Telephone | 8015817806 |
| Mailing Telephone | 8015817806 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
11301222-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
11301222-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | PG177341 | OR | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5050 Ne Hoyt St, Ste 540, Portland, OR 972132991 | 5032156600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346667326 | Kathryn Hendrickson | Nurse Practitioner | 3438 Lawton Rd Ste 2b, Orlando, FL 32803-2948 | 2014-03-27 |
| 1093774754 | Kathryn Denise Hendrickson | Pediatrics | 7303 Rogers Ave, Fort Smith, AR 72903-4112 | 2006-03-21 |
| Street Address |
26 N 1900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508962176 | Chakravarthy B Reddy | Internal Medicine | 26 N 1900 E, 701, Wintrobe Building, Salt Lake City, UT 84132-0002 | 2006-09-14 |
| 1194171942 | Sarah Elizabeth Stern | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2016-05-11 |
| 1841651742 | Brittany Mary Scarpato | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2016-03-19 |
| 1770973489 | Brian Poole | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2015-02-02 |
| 1730596925 | Jaskaran S. Sethi | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2014-07-19 |
| 1568751519 | Ian Mecham | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2011-03-30 |
| 1831404136 | Akshu Balwan | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2010-08-11 |
| 1619121019 | Sanjeev Murthi Raman | Internal Medicine | 26 N 1900 E, #701 Wintrobe, Salt Lake City, UT 84132-0002 | 2008-11-12 |
| 1093971863 | Enoch Daniel Christopherson | Physician Assistant | 26 N 1900 E, Wintrobe 701, Salt Lake City, UT 84132-0002 | 2008-07-31 |
| 1992969786 | University of Utah Hospital | General Acute Care Hospital | 26 N 1900 E, Cystic Fibrosis Center, Salt Lake City, UT 84132-0002 | 2008-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1114931540 | Jamile Sarah Woods | Internal Medicine | Lds Hospital, 324, 8th Avenue, Salt Lake City, UT 84143-0001 | 2006-07-29 |
| 1003820754 | Hildegard K Smith | Internal Medicine | 324 10th Ave Ste 104, Salt Lake City, UT 84143-0001 | 2006-07-28 |
| 1629010079 | John Wade Shigeoka | Internal Medicine | Pulmonary Section 111p, Va Medical Center, Salt Lake City, UT 84148-0001 | 2006-06-11 |
| 1700858727 | Paul T Teman | Internal Medicine | Sleep-wake Center, 375 Chipeta Way, Suite A200, Salt Lake City, UT 84108-1260 | 2006-02-03 |
| 1508861964 | Mark L Martinez | Internal Medicine | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2005-06-14 |
| 1487124624 | Ihc Health Services Inc | Internal Medicine | 324 E 10th Ave Ste 170, Salt Lake City, UT 84103-2858 | 2018-11-30 |
| 1093119893 | University of Utah Adult Services | Internal Medicine | 50 North Medical Drive, Salt Lake City, UT 84132 | 2014-10-22 |
| 1417375213 | Bonnie Ronish | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-7414 | 2014-03-31 |
| 1134563729 | Ashley Lauren Garrett | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2013-04-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
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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.