Benjamin S Hendrickson (NPI# 1881855930, PAC ID# 4183936115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1881855930 |
| PAC ID by PECOS | 4183936115 |
| Professional Enrollment ID | I20180122002157 |
| Full Name | Benjamin S Hendrickson |
| Organization Legal Name | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| Address |
51 N Dunlap Suite 235 Memphis TN 38105 |
| Phone Number | 9012877337 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 7719173939 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 51 N Dunlap, Suite 235, Memphis, TN 38105 | 9012877337 | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| Organization Legal Name | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| Physicians | 176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen F Smith | Qualified Audiologist | Ut Lebonheur Pediatric Specialists, Inc. | 4055 N Park Loop, Memphis, TN 38152-4220 |
| Casandra B Banks | Qualified Audiologist | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Benjamin R Waller Iii | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Jennifer D Mclevy-bazzanella | Otolaryngology | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Glenn T Wetzel | Cardiovascular Disease (cardiology) | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Mark C Bugnitz | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Miriam Vanmersbergen | Qualified Speech Language Pathologist | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Shantaveer Gangu | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Tonia Elizabeth Gardner | Neurology | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Natalie C Kerr | Ophthalmology | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Street Address |
51 N DUNLAP SUITE 235 |
| City | MEMPHIS |
| State | TN |
| Zip | 38105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Stephens | Nurse Practitioner | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap, Suite 235, Memphis, TN 38105 |
| Kincharska N Freeman | Nurse Practitioner | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap, Suite 235, Memphis, TN 38105 |
| Adebowale A Odulana | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap, Suite 235, Memphis, TN 38105 |
| Divya Salhan | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap, Suite 235, Memphis, TN 38105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer D Mclevy-bazzanella | Otolaryngology | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Gerald R Jerkins | Urology | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Suite 100, Memphis, TN 38105-4624 |
| Thomas M Yohannan | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Jamila Smith- Young | Nurse Practitioner | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Christie F Michael | Allergy/immunology | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Ronak J Naik | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Vijaya M Joshi | Cardiovascular Disease (cardiology) | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Dukhee B Lew | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Tanjala T Gipson | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Mia P Mccoy | Nurse Practitioner | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Find all physicians in zip 38105 | |||
| City | MEMPHIS |
| Zip Code | 38105 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | MEMPHIS + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Benjamin S 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.