TIMOTHY HENDRICKSON (NPI# 1861468522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861468522 |
| Entity Type | Individual |
| Full Name | TIMOTHY HENDRICKSON |
| Credential | DO |
| Practice Address |
149 North St Mgha Hospitalist Program Waterville ME 04901-4974 |
| Practice Telephone | 2076261018 |
| Practice Fax Number | 2078721214 |
| Mailing Telephone | 2076261018 |
| Mailing Fax Number | 2076261214 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2008-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
01573 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 310310099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578848594 | Timothy Allen Hendrickson | Licensed Practical Nurse | 1305 Bluff St, Hamburg, IA 51640-1345 | 2011-10-21 |
| Street Address |
149 NORTH ST MGHA HOSPITALIST PROGRAM |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083691869 | Robin M Wood | Nuclear Medicine | 149 North St, Waterville, ME 04901-4974 | 2005-12-22 |
| 1588289961 | Kellee Gorgone | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2020-06-11 |
| 1962027656 | Thomas Pentzer | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1437774122 | Anita Nwanna-nzewunwa | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1487279162 | Jesse Leeds | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1093366239 | Danielle Rice | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2019-09-27 |
| 1528627080 | Lisa Smith | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-10 |
| 1215596762 | Rose Knudsen | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-09 |
| 1053970509 | Lara Householder | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-09 |
| 1033694807 | Elizabeth Harwood | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1598721631 | Mainegeneral Health Associates | Internal Medicine | Nephrology Services, 149 North St., Waterville, ME 04901 | 2006-04-26 |
| 1710953476 | Charles N Jacobs | Internal Medicine | 149 North St, Waterville, ME 04901-4974 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184133746 | Abd Assalam Qannus | Internal Medicine | 22 Bramhall St Rm 5219, Portland, ME 04102-3134 | 2017-09-27 |
| 1023403748 | Sarah Gilligan | Internal Medicine | 19 Capisic St, Portland, ME 04102-2203 | 2015-03-31 |
| 1174825707 | Catherine Stehman-breen | Internal Medicine | 5 Meetinghouse Ln, York, ME 03909-1073 | 2010-12-02 |
| 1578635132 | Myra Altman | Internal Medicine | 16 Fahey Street, Suite 107, Belfast, ME 04915 | 2006-11-15 |
| 1053301747 | Shahid Mansoor | Internal Medicine | 19 Vanasse Rd, Eastport, ME 04631-3860 | 2005-10-25 |
| 1780684407 | Barbara Oberg-higgins | Internal Medicine | 6 Glen Cove Drive, Rockport, Rockport, ME 04856-7533 | 2005-07-22 |
| 1649278029 | Paul A Parker | Internal Medicine | 1600b Congress St, Portland, ME 04102-2124 | 2005-07-11 |
| 1295731131 | David Lawrence Levy | Internal Medicine | 417 State St, Ste 321, Bangor, ME 04401-6638 | 2005-06-24 |
| 1386640258 | Suzanne Humphries | Internal Medicine | 435 Muzzy Ridge Rd, Searsmont, ME 04973-3202 | 2005-06-24 |
| 1396290763 | Amjad Mehboob | Internal Medicine | 22 Bramhall St, Maine Medical Center, Portland, ME 04102-3134 | 2016-08-16 |
| Find all providers with the same taxonomy | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
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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.