David J Hendrickson (NPI# 1457341950, PAC ID# 3072705052) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1457341950 |
PAC ID by PECOS | 3072705052 |
Professional Enrollment ID | I20101008000556 |
Full Name | David J Hendrickson |
Organization Legal Name | MERCY HEALTH SYSTEM CORPORATION |
Address |
2825 Prairie Ave Beloit WI 53511-1844 |
Phone Number | 6083635500 |
Gender | M |
Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
Graduation Year | 1974 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 7416860440 |
Number of Group Practice Members | 480 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
521341 | RICHLAND HOSPITAL |
520066 | MERCY HEALTH SYSTEM CORP |
Address | Phone | Organization |
---|---|---|
2825 Prairie Ave, Beloit, WI 53511-1844 | 6083635500 | MERCY HEALTH SYSTEM CORPORATION |
Organization Legal Name | MERCY HEALTH SYSTEM CORPORATION |
Physicians | 476 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer C Finch | Nurse Practitioner | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
Shannon R Vokac | Qualified Audiologist | Mercy Health System Corporation | 390 Congress Pkwy, Crystal Lake Med Ctr East, Crystal Lake, IL 60014-6207 |
Amy Sosa | Psychologist, Clinical | Mercy Health System Corporation | N2846 State Rd, Suite 67, Williams Bay, WI 53191-3771 |
David M Francis | Radiation Oncology | Mercy Health System Corporation | 1000 Mineral Point Ave, Janesville, WI 53548-2940 |
Andrew J Bridge | Family Medicine | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
Imad M Aziz | Family Medicine | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Corinne M Hansen | Physician Assistant | Mercy Health System Corporation | 3400 Deerfield Dr, Janesville, WI 53546-3557 |
Karina L Quinn | Plastic and Reconstructive Surgery | Mercy Health System Corporation | N2950 State Rd, Suite 67, Lake Geneva, WI 53147-2655 |
Baby Min Than | Family Medicine | Mercy Health System Corporation | 2000 Lake Ave, Woodstock, IL 60098-7401 |
Syed Hassan | Family Medicine | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
Street Address |
2825 PRAIRIE AVE |
City | BELOIT |
State | WI |
Zip | 53511-1844 |
Name | Specialty | Organization | Address |
---|---|---|---|
Imad M Aziz | Family Medicine | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Ashley A. Crull | Psychologist, Clinical | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Elana B Wistrom | Obstetrics/gynecology | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Natalie J Parker | Nurse Practitioner | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Patricia D Garner | General Surgery | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Rebecca L Custer | Physical Therapy | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Cristine Ann Platts | Occupational Therapy | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Katheryn R Kaldor | Obstetrics/gynecology | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Brock A Swanson | Podiatry | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Navjot K. Sekhon | Family Medicine | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Geoffrey T Bouc | Family Medicine | 3005 S Riverside Dr, Suite 101, Beloit, WI 53511-1500 | |
Ann L Pruyne | Occupational Therapy | 828 E Azalea Ter, Beloit, WI 53511-1606 | |
Frank C Kollins | Chiropractic | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | |
Sara A Jackson | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
Madelene G Hamann | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
Steven S Yang | Gastroenterology | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
Cynthia L Philpott | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
Yehia K Khoga | Psychiatry | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
Joseph K Kittah | Pulmonary Disease | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
Maria M Poplawska Goetzen | Family Medicine | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
Find all physicians in zip 53511 |
City | BELOIT |
Zip Code | 53511 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | BELOIT + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on David J Hendrickson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.