KIMBERLY BLACK HENDRIX (NPI# 1811993728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811993728 |
| Entity Type | Individual |
| Full Name | KIMBERLY BLACK HENDRIX |
| Credential | M.D. |
| Practice Address |
700 E Morehead St Ste 300 Charlotte NC 28202-2742 |
| Practice Telephone | 7043347800 |
| Practice Fax Number | 7044147512 |
| Mailing Telephone | 7043347800 |
| Mailing Fax Number | 7044147512 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
37508 | SC | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35366 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8941591 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508303868 | Kimberly D Hendrix | In Home Supportive Care | 8300 Fm 1960 Rd E, Apt 2307, Humble, TX 77346-4525 | 2017-01-25 |
| 1841572286 | Kimberly Dawn Hendrix | Counselor | 6301 E 41st St, Tulsa, OK 74135-6103 | 2011-09-12 |
| Street Address |
700 E MOREHEAD ST STE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315499 | Ole Sami Aassar | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2005-06-13 |
| 1841675873 | Shelley Fleming | Physician Assistant | 700 E Morehead St, Ste 300, Charlotte, NC 28202 | 2015-07-20 |
| 1871853317 | Brittany Ann Sugimoto | Physician Assistant | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2012-05-17 |
| 1518243328 | Kaitlin Clark Osbourn | Physician Assistant | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2011-10-25 |
| 1316232697 | Jessica Matthews Belk | Physician Assistant | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2011-06-14 |
| 1720379035 | Amy Vinod Chudgar | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2011-04-21 |
| 1780902841 | John Clyde Childress IIi | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2010-05-13 |
| 1265757728 | Daniel P Seeburg | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2010-03-28 |
| 1174850713 | Angela Nash | Physician Assistant | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2009-11-03 |
| 1194952267 | Aaron Heinrich Baer | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2009-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003110677 | Charlotte Radiology Pa | Radiology | 1025 Morehead Medical Dr Ste 150, Charlotte, NC 28204-2973 | 2010-12-22 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| 1801097803 | Orion Imaging, LLC | Radiology | 10420 Park Rd, Ste 100, Charlotte, NC 28210-8501 | 2007-05-29 |
| 1457561912 | John D Wylie | Radiology | 3816 Latrobe Dr, Charlotte, NC 28211-1167 | 2007-05-23 |
| 1417029455 | Gregory John Duellman | Radiology | 14121 Lissadell Cir, Charlotte, NC 28277-3137 | 2006-11-14 |
| 1407926165 | Metrolina Women's Breast Center Pllc | Radiology | 439 N Wendover Road, Charlotte, NC 28211 | 2006-11-09 |
| 1932286523 | Charles Nicholas Pappas | Radiology | 609 Stockbridge Rd, Charlotte, VT 05445-9361 | 2006-11-01 |
| 1164439873 | Kenneth Fox | Radiology | 9935d Rea Rd Ste 266, Charlotte, NC 28277-6710 | 2006-08-02 |
| 1265470421 | Kevin W Carroll | Radiology | 3623 Latrobe Drive, Ste 216, Charlotte, NC 28211 | 2006-06-02 |
| 1528032604 | Diane Huntington Conley | Radiology | 3815 Stoney Ridge Trl, Charlotte, NC 28210-6932 | 2006-02-15 |
| Find all providers in CHARLOTTE | ||||
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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.