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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
452 W 10th Ave, Columbus, OH 432101240 | 6142937677 | 6142935614 |
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 |
Street Address |
51 N DUNLAP ST FL 2 |
City | MEMPHIS |
State | TN |
Zip Code | 38105-4625 |
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 |
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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 Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
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. |
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 |
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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.