BENJAMIN SIMON HENDRICKSON


Address: 51 N Dunlap St Fl 2, Memphis, TN 38105-4625
Phone: 9012877337

BENJAMIN SIMON HENDRICKSON (NPI# 1881855930) 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) 1881855930
Entity Type Individual
Full Name BENJAMIN SIMON HENDRICKSON
Credential M.D.
Practice Address 51 N Dunlap St Fl 2
Memphis
TN 38105-4625
Mailing Address 850 Poplar Ave Bldg 2
Memphis
TN 38105-4607
Practice Telephone 9012877337
Practice Fax Number 9012874646
Mailing Telephone 9012877337
Mailing Fax Number 9012874646
Enumeration Date 2008-06-20
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 70778 AZ Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
35.126320 OH Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 70778 AZ Allopathic & Osteopathic Physicians
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
56639 TN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
452 W 10th Ave, Columbus, OH 432101240 6142937677 6142935614

Other Providers BENJAMIN HENDRICKSON

NPI Name Taxonomy Address Enumeration
1982202974 Benjamin Hendrickson Occupational Therapy Assistant 140 Technology Ln, Johnson City, TN 37604-2004 2020-10-13
1427401660 Benjamin Morgan Hendrickson Psychologist 2200 W Broad St, Columbus, OH 43223-1297 2016-07-22
1871971606 Benjamin Hendrickson Specialist/Technologist 1725 State St, La Crosse, WI 54601-3742 2015-05-13

Office Location

Street Address 51 N DUNLAP ST FL 2
City MEMPHIS
State TN
Zip Code 38105-4625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922076272 Christopher Knott-craig Thoracic Surgery (Cardiothoracic Vascular Surgery) 51 N Dunlap St Fl 2, Memphis, TN 38105-4625 2006-03-11
1093190365 Ryan E Stephens Nurse Practitioner 51 N Dunlap St Fl 2, Memphis, TN 38105 2015-07-28
1477893121 Maria Del Pilar Anton Martin Pediatrics 51 N Dunlap St Fl 2, Memphis, TN 38105 2013-02-17
1598022675 Kaitlin Anne Ryan Pediatrics 51 N Dunlap St Fl 2, Memphis, TN 38105 2012-04-13
1891051348 Vasu D. Gooty Pediatrics 51 N Dunlap St Fl 2, Memphis, TN 38105-4625 2012-04-10
1295018216 Leah Marie Apalodimas Nurse Practitioner 51 N Dunlap St Fl 2, Memphis, TN 38105 2011-09-26
1346536042 Hitesh Agrawal Internal Medicine 51 N Dunlap St Fl 2, Memphis, TN 38105 2011-06-22
1912299967 Hugo Ruben Martinez Pediatrics 51 N Dunlap St Fl 2, Memphis, TN 38105-4625 2011-05-10
1669764106 Gary S Beasley Pediatrics 51 N Dunlap St Fl 2, Memphis, TN 38105 2011-05-03
1518261171 Jason Frederick Goldberg Pediatrics 51 N Dunlap St Fl 2, Memphis, TN 38105 2010-12-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447887435 Leeanne Chittom Mcdonald Dietitian, Registered Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 2020-03-27
1619508942 Victoria Mackay Physician Assistant 595 Danny Thomas Place, Memphis, TN 38105 2020-01-27
1720436710 Angela Marie Pratt Nurse Practitioner 262 Danny Thomas Blvd, Memphis, TN 38105 2016-05-31
1326434465 Amanda Green Pediatrics 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 2015-04-15
1467864173 Nicole Mary Alberts Psychologist 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 2014-05-29
1689004160 Virginia Carney Dietitian, Registered 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 2013-11-19
1447506365 Nickhill Hitesh Bhakta Pediatrics 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 2012-07-29
1457622235 Healthy Indigent Populations Inc. Exclusive Provider Organization 1066 Delmar, Memphis, TN 38105 2012-01-25
1285953265 Nicholas Steve Phillips Student in an Organized Health Care Education/Training Program 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 2010-05-31
1205151776 Kyle Joseph Morgan Anesthesiology 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 2010-03-28
Find all providers in zip 38105

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740216514 Nancy Ann Chase Pediatrics 805 Estate Pl Ste 1, Memphis, TN 38120-0647 2006-06-24
1679560288 James K Stamps Pediatrics 80 Humphreys Center, Suite 230, Memphis, TN 38120 2005-09-29
1083033757 Neil Chandrakant Tailor Pediatrics 910 Madison Ave Ste 1031, Memphis, TN 38103-3403 2014-04-10
1255770061 Nomisha Amin Pediatrics 848 Adams Ave, Memphis, TN 38103-2816 2013-06-14
1134469935 Anthony Merlocco Pediatrics 51 N Dunlap St, Memphis, TN 38105-4625 2013-02-15
1295080190 Memphis Pediatric Heart Pediatrics 80 Humphreys Center, Suite 230, Memphis, TN 38120 2012-07-17
1598022675 Kaitlin Anne Ryan Pediatrics 51 N Dunlap St Fl 2, Memphis, TN 38105 2012-04-13
1891051348 Vasu D. Gooty Pediatrics 51 N Dunlap St Fl 2, Memphis, TN 38105-4625 2012-04-10
1982984951 Nithya Swaminathan Pediatrics 51 N Dunlap St, Ste. 200, Memphis, TN 38105-4625 2011-08-23
1669764106 Gary S Beasley Pediatrics 51 N Dunlap St Fl 2, Memphis, TN 38105 2011-05-03
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38105

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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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