IAN JAMES KENDRICK (NPI# 1902126824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902126824 |
| Entity Type | Individual |
| Full Name | IAN JAMES KENDRICK |
| Credential | M.D. |
| Practice Address |
190 Arrowhead Dr Evanston WY 82930-9266 |
| Mailing Address |
196 Arrowhead Dr 6 Evanston WY 82930-8752 |
| Practice Telephone | 3077838255 |
| Practice Fax Number | 3077838167 |
| Mailing Telephone | 3077838398 |
| Mailing Fax Number | 3077838446 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 10155A | WY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | TL2981 | WY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
190 ARROWHEAD DR |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-9266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639140015 | Evanston Hospital Corporation | General Acute Care Hospital | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-02-01 |
| 1891308300 | Valley View Emergency Physicians LLC | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2020-08-25 |
| 1073167359 | Evanston Regional Physicians LLC | Family Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2019-07-25 |
| 1972981132 | University of Utah Adult Services | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2015-05-08 |
| 1871971184 | Daryl Mclaren | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930 | 2015-05-07 |
| 1013394642 | University of Utah Adult Services | Internal Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2015-05-04 |
| 1619383148 | Uinta Emergency Physicians, LLC | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2014-07-04 |
| 1013288836 | Evanston Hospital Corporation | Nurse Anesthetist, Certified Registered | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2012-01-25 |
| 1891091898 | Tyler Lee Hunt | Nurse Anesthetist, Certified Registered | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2011-02-08 |
| 1730341298 | Steven Edward Muller | Pharmacist | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2008-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316384258 | Amna Munif Khokar | Surgery | Northshore University Healthsystem, Office of Academic, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2013-06-02 |
| 1255562690 | Uinta General Surgery | Surgery | 196 Arrowhead Dr Ste 4, Evanston, WY 82930-8752 | 2009-08-03 |
| 1245486877 | Marin Nikolov Marinov | Surgery | 2615 Central St, Evanston, IL 60201-6413 | 2008-08-14 |
| 1841391349 | Gregory M Yasuda | Surgery | 75 Yellow Creek Rd Ste 101, Evanston, WY 82930-5205 | 2006-09-26 |
| 1508204488 | Herbert Mason Hedberg | Surgery | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2013-06-12 |
| 1619237625 | Tadge Kanjo General Surgery LLC | Surgery | 196 Arrowhead Dr, Suite 6, Evanston, WY 82930-8752 | 2012-05-23 |
| 1982984977 | Lava Y Patel | Surgery | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2011-08-22 |
| 1598923047 | Michael Bryant Ujiki | Surgery | 2650 Ridge Ave, Walgreen Bldg, Suite 2507, Evanston, IL 60201-1718 | 2008-05-30 |
| 1003081522 | Evanston Surgical Center LLC | Surgery | 196 Arrowhead Dr, Suite 8, Evanston, WY 82930-8752 | 2008-04-25 |
| 1093980872 | Charles R Gruner | Surgery | 800 Austin St, East Tower, Suite 563, Evanston, IL 60202-3439 | 2008-04-23 |
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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.