DR. JEAN E LEE HENDRICKS (NPI# 1891006805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891006805 |
| Entity Type | Individual |
| Full Name | DR. JEAN E LEE HENDRICKS |
| Other Name | JEAN LEE |
| Credential | M.D |
| Practice Address |
171 Kempsville Rd Norfolk VA 23502-4700 |
| Mailing Address |
171 Kempsville Rd Building B Norfolk VA 23502-4700 |
| Practice Telephone | 7576686500 |
| Mailing Telephone | 7576686500 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2013-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101253677 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497941769 | Jean Fallon Hendricks | Optometrist | 1416 State St, New Orleans, LA 70118-6047 | 2007-09-20 |
| Street Address |
171 KEMPSVILLE RD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346218195 | Cara D Novick | Orthopaedic Surgery | 171 Kempsville Rd, Building A, Norfolk, VA 23502-4700 | 2006-03-09 |
| 1811478043 | Laura Catherine Speer Cage | Physician Assistant | 171 Kempsville Rd, Norfolk, VA 23502-4700 | 2018-08-26 |
| 1083130678 | Chesapeake Hospital Authority | Clinic/Center | 171 Kempsville Rd, Norfolk, VA 23502-4700 | 2017-08-16 |
| 1689113391 | Amanda Katheryn Shockey | Specialist/Technologist | 171 Kempsville Rd, Building A, Norfolk, VA 23502-4700 | 2017-02-14 |
| 1174851711 | Chesapeake Diagnostic Imaging Centers, LLC | Radiology | 171 Kempsville Rd, Building C, Norfolk, VA 23502-4700 | 2009-11-19 |
| 1942441878 | Sarah Hensley | Specialist/Technologist | 171 Kempsville Rd, Norfolk, VA 23502-4700 | 2009-03-24 |
| 1801046966 | Cameron Currey Brown | Occupational Therapist | 171 Kempsville Rd, Building B, Norfolk, VA 23502-4700 | 2008-09-25 |
| 1215108063 | Allison Elizabeth Crepeau | Orthopaedic Surgery | 171 Kempsville Rd, Building A, Norfolk, VA 23502-4700 | 2008-03-20 |
| 1316133036 | Marisa B Houser | Occupational Therapist | 171 Kempsville Rd, Norfolk, VA 23502-4700 | 2007-09-17 |
| 1760688493 | Erika L Mccullough | Speech-Language Pathologist | 171 Kempsville Rd, Building A-1, Norfolk, VA 23502-4700 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546106 | Childrens Medical Group Inc | Pediatrics | 1529 International Blvd Ste 301, Norfolk, VA 23513-4802 | 2018-11-02 |
| 1164801700 | Drexel Proctor | Pediatrics | 601 Childrens Ln Fl 6, Norfolk, VA 23507-1910 | 2015-05-28 |
| 1194084038 | Michael James Kochan | Pediatrics | 445 E Freemason St, Apt 2a, Norfolk, VA 23510-2453 | 2012-05-13 |
| 1184853749 | Eric Carroll | Pediatrics | 1562 Mitscher Avenue, Suite 250, Norfolk, VA 23551-2487 | 2009-07-03 |
| 1164650321 | Daniel B Spencer | Pediatrics | 400 Gresham Dr Ste 301, Norfolk, VA 23507-1901 | 2009-06-26 |
| 1548425218 | Mia Jin | Pediatrics | 810 W Princess Anne Rd, Apt 403, Norfolk, VA 23517-1871 | 2008-07-22 |
| 1851559504 | Princess Anne Pediatrics | Pediatrics | 5040 E Princess Anne Rd Ste A, Norfolk, VA 23502-1733 | 2008-05-29 |
| 1902079015 | Edward Alex Johnson | Pediatrics | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2008-04-09 |
| 1790957447 | Kimberly Bryant Schindler | Pediatrics | 1909a Granby Street, Norfolk, VA 23517-2349 | 2008-04-01 |
| 1346425261 | Melissa Buryk | Pediatrics | 1210 Redgate Ave, Norfolk, VA 23507-1331 | 2008-01-09 |
| Find all providers in NORFOLK | ||||
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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.