JOHN MICHAEL HENDRICK (NPI# 1780002261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780002261 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL HENDRICK |
| Credential | MD |
| Practice Address |
30 N 1900 E Rm 4c104 Salt Lake City UT 84132-0002 |
| Practice Telephone | 8015812121 |
| Mailing Telephone | 8015812121 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD183017 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
9560104-1205 | UT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2825 E Barnett Rd, Medford, OR 975048332 | 5417897000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508889460 | John Preston Hendrick | Psychiatry & Neurology | 116a Sidney and Lamont Streets, Mountain Home Vamc, Mountain Home, TN 37684 | 2006-07-25 |
| 1528021896 | John Hampton Hendrick Jr. | Physician Assistant | 2180 Henry Tecklenburg Dr, Charleston, SC 29414 | 2006-04-08 |
| 1205811957 | John Chappell Hendrick | Physician Assistant | 4212 W Congress St, Suite 3200, Lafayette, LA 70506-6765 | 2005-12-14 |
| Street Address |
30 N 1900 E RM 4C104 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255532487 | Nazir Delawar | Family Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2007-05-28 |
| 1063031250 | Iosif Taleb | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2020-04-08 |
| 1699394874 | Anthony Phy Mai | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2020-04-08 |
| 1851920110 | Matthew James Gwiazdon | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2020-04-07 |
| 1598394181 | Iasson Yi | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2020-04-06 |
| 1831728526 | Shadai Gociman | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2020-04-03 |
| 1053940965 | Sidhant Varma | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2020-04-02 |
| 1124657259 | Nicole Elizabeth Birrer | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2020-04-01 |
| 1447888672 | Alexander Brauer | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2020-04-01 |
| 1659909802 | Christopher Wisdom Ching | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2020-03-31 |
| 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 | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326579491 | Paul G. Didomizio | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2017-03-21 |
| 1679977474 | University of Utah Adult Services | Internal Medicine | 50 North Medical Drive, Salt Lake City, UT 84132 | 2014-10-22 |
| 1134461296 | Steven Robert Cali | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467806455 | Eric Fletcher Moss | Internal Medicine | 395 W Cougar Blvd Ste 102, Provo, UT 84604-3334 | 2016-04-16 |
| 1720199615 | Stephen B Smith | Internal Medicine | 1624 E 4500 S, Holladay, UT 84117-4212 | 2006-08-31 |
| 1033676788 | Ihc Health Services Inc | Internal Medicine | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-02-28 |
| 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.