MS. SUSAN COLLEEN HENDRICKSON (NPI# 1902901366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902901366 |
| Entity Type | Individual |
| Full Name | MS. SUSAN COLLEEN HENDRICKSON |
| Credential | MD |
| Practice Address |
1000 Washington Ave Bay City MI 48707-9801 |
| Mailing Address |
Po Box 2201 Bay City MI 48707-2201 |
| Practice Telephone | 9896676977 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301060917 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3273870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063591147 | Susan M Hendrickson | Psychologist | 8085 Wayzata Blvd Ste 216, Golden Valley, MN 55426-1459 | 2006-11-02 |
| 1780644146 | Susan Ann Hendrickson | Nurse Practitioner | 787 37th St Ste 140, Vero Beach, FL 32960-7305 | 2006-03-28 |
| 1154506236 | Susan D Hendrickson | Marriage & Family Therapist | 4824 S Lemay Ave, Fort Collins, CO 80525-9402 | 2008-01-08 |
| Street Address |
1000 WASHINGTON AVE |
| City | BAY CITY |
| State | MI |
| Zip Code | 48707-9801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709896 | All-star Rehab Plus Kids, Pllc | Clinic/Center | 1913 7th St, Bay City, TX 77414-5112 | 2020-10-29 |
| 1629676697 | Family First Homecare of Texas LLC | Home Health | 1909 Hamman Rd Apt 702, Bay City, TX 77414-8572 | 2020-10-13 |
| 1811594369 | Alianna Johnson | Behavior Technician | 1114 N Lincoln St, Bay City, MI 48708-6161 | 2020-10-07 |
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1093321200 | Jamie Price-tober | Technician, Other | 4777 Spitler Dr, Bay City, MI 48706-9498 | 2020-09-22 |
| 1699380352 | Belma H Cruz | Nurse Practitioner | 1820 Sunset Ave, Bay City, TX 77414-4655 | 2020-09-10 |
| 1215542022 | Tso Bay City, Pllc | Optometrist | 4310 7th St Ste 400, Bay City, TX 77414-5288 | 2020-09-09 |
| 1114530789 | Amanda Lee Burton | Specialist/Technologist | 104 1/2 Spruce St, Bay City, MI 48706-3881 | 2020-08-24 |
| 1609487198 | Berkeley Eye Institute, P.a | Optometrist | 6500 7th St Ste 200, Bay City, TX 77414-1201 | 2020-08-10 |
| 1154947703 | Bay City Comfort Care | Assisted Living Facility | 4130 Shrestha Dr, Bay City, MI 48706-2184 | 2020-06-19 |
| Find all providers in BAY CITY | ||||
| 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 |
|---|---|---|---|---|
| 1497885347 | Valloppillil M.d. | Pediatrics | 1407 Avenue H, Bay City, TX 77414-3529 | 2007-03-07 |
| 1144395492 | Cindy Fine Williams | Pediatrics | 1850 9th St, Bay City, MI 48708-6742 | 2006-11-22 |
| 1821073248 | Kunjamma Sebastian | Pediatrics | 1410 Avenue F, Bay City, TX 77414-3418 | 2005-12-08 |
| 1962403550 | Patricia A. Maxwell | Pediatrics | 2417 Avenue I, Bay City, TX 77414-6104 | 2005-08-03 |
| 1043217979 | Jeffrey Theodore Vangelderen | Pediatrics | 248 Washington Ave, Suite A, Bay City, MI 48708-5848 | 2005-07-07 |
| 1356760656 | Steven Joshua Kass | Pediatrics | 104 7th St, Bay City, TX 77414-4853 | 2014-04-15 |
| 1053672535 | Discovery Medical Network Matagorda LLC | Pediatrics | 600 Hospital Cir, Bay City, TX 77414-4771 | 2012-05-31 |
| 1831489038 | Kim Chau | Pediatrics | 101 Avenue F N, Bay City, TX 77414-3167 | 2011-04-10 |
| 1902972748 | Childrens Medical Group of Saginaw Bay Pllc | Pediatrics | 248 Washington Ave, Suite A, Bay City, MI 48708-5848 | 2006-11-24 |
| 1881771244 | Inkun Shin | Pediatrics | 200 S Wenona St, Bay City, MI 48706-8820 | 2006-11-01 |
| Find all providers in BAY CITY | ||||
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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.