KIMBERLY BLACK HENDRIX


Address: 700 E Morehead St, Ste 300, Charlotte, NC 28202-2742
Phone: 7043347800

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 8941591 05

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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

Office Location

Street Address 700 E MOREHEAD ST
STE 300
City CHARLOTTE
State NC
Zip Code 28202-2742

Providers in the same location

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
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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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City CHARLOTTE
Zip Code 28202

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Dataset Information

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.

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