IAN JAMES KENDRICK


Address: 190 Arrowhead Dr, Evanston, WY 82930-9266
Phone: 3077838255

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 190 ARROWHEAD DR
City EVANSTON
State WY
Zip Code 82930-9266

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in EVANSTON

Competitor

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City EVANSTON
Zip Code 82930

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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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