Kerry L Hendershot (NPI# 1700849544, PAC ID# 6204807548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700849544 |
| PAC ID by PECOS | 6204807548 |
| Professional Enrollment ID | I20040802001106 |
| Full Name | Kerry L Hendershot |
| Organization Legal Name | COVENANT MEDICAL GROUP |
| Address |
9812 Slide Rd Lubbock TX 79424-5781 |
| Phone Number | 8067258400 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6901889393 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450040 | COVENANT MEDICAL CENTER |
| 453306 | COVENANT CHILDRENS HOSPITAL |
| 450686 | UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9812 Slide Rd, Lubbock, TX 79424-5781 | 8067258400 | COVENANT MEDICAL GROUP |
| 5009 College Ave, Snyder, TX 79549-6109 | 9155731300 | COVENANT MEDICAL GROUP |
| Organization Legal Name | COVENANT MEDICAL GROUP |
| Physicians | 185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Owen | Urology | Covenant Medical Group | 3612 23rd St, Lubbock, TX 79410-1326 |
| David F Oakes | Cardiac Electrophysiology | Covenant Medical Group | 3506 21st St, Suite 302, Lubbock, TX 79410-1212 |
| Kyler W Barkley | Cardiovascular Disease (cardiology) | Covenant Medical Group | 3514 21st St, Lubbock, TX 79410-1210 |
| Joshua G Hill | Family Medicine | Covenant Medical Group | 611 N Frankford Ave, Lubbock, TX 79416-1545 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Kia M Ousley | Family Medicine | Covenant Medical Group | 1910 Quaker Ave, Suite 101, Lubbock, TX 79407-2447 |
| Jana C Ashburn | Nurse Practitioner | Covenant Medical Group | 3606 21st St, Suite 103, Lubbock, TX 79410-1226 |
| Kate E Barnett | Physical Therapy | Covenant Medical Group | 4404 19th St, Suite C, Lubbock, TX 79407-2424 |
| Cristan D Ledbetter | Nurse Practitioner | Covenant Medical Group | 4102 22nd Pl, Lubbock, TX 79410-1122 |
| Street Address |
9812 SLIDE RD |
| City | LUBBOCK |
| State | TX |
| Zip | 79424-5781 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James F Kirk | Urology | Covenant Medical Group | 9812 Slide Rd, Lubbock, TX 79424-5781 |
| Courtney H Cowden Iii | Orthopedic Surgery | Covenant Medical Group | 9812 Slide Rd, Lubbock, TX 79424-5781 |
| Angela G Ferguson | Internal Medicine | Covenant Medical Group | 9812 Slide Rd, Lubbock, TX 79424-5781 |
| Amanda J Backlund | Family Medicine | Covenant Medical Group | 9812 Slide Rd, Lubbock, TX 79424-5781 |
| Annabelle W Jordan | Nurse Practitioner | Covenant Medical Group | 9812 Slide Rd, Lubbock, TX 79424-5781 |
| Ikechukwu C Umezurike | Internal Medicine | Hospitalist Medicine Physicians of Texas Pllc | 9812 Slide Rd, Lubbock, TX 79424-5781 |
| Carrie G Paine | Family Medicine | Covenant Medical Group | 9812 Slide Rd, Lubbock, TX 79424-5781 |
| Anastacia L Leatherwood | Nurse Practitioner | Covenant Medical Group | 9812 Slide Rd, Lubbock, TX 79424-5781 |
| Young Ja Moore | Nurse Practitioner | Hospitalist Medicine Physicians of Texas Pllc | 9812 Slide Rd, Lubbock, TX 79424-5781 |
| Kenneth E Kruczek | Hospitalist | Hospitalist Medicine Physicians of Texas Pllc | 9812 Slide Rd, Lubbock, TX 79424-5781 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis G King | Family Medicine | Umc Physicians | 7301 Milwaukee Ave, Lubbock, TX 79424-0626 |
| Angie Maldonado | Nurse Practitioner | Umc Physicians | 7301 Milwaukee Ave, Lubbock, TX 79424-0626 |
| Bryan D Harris | Dermatology | Long and Harris Dermatology Pllc | 6102 82nd St, Suite 15, Lubbock, TX 79424-0802 |
| Michael Long | Dermatology | Long and Harris Dermatology Pllc | 6102 82nd St, Suite 15, Lubbock, TX 79424-0802 |
| Charles E Addington Ii | Family Medicine | Texas Physicians Group | 6102 82nd St, Unit 14, Lubbock, TX 79424-0802 |
| Chris H Brown | Physician Assistant | Lubbock Urology Clinic, LLP | 6102 82nd St, Suite 5, Lubbock, TX 79424-0803 |
| Howard Wilbanks Beck | Urology | Lubbock Urology Clinic, LLP | 6102 82nd St, Suite 5, Lubbock, TX 79424-0803 |
| Kanwaljit S Mahal | Urology | Lubbock Urology Clinic, LLP | 6102 82nd St, Suite 5, Lubbock, TX 79424-0803 |
| Patricia K Gutierrez | Nurse Practitioner | Lubbock Urology Clinic, LLP | 6102 82nd St, Suite 5, Lubbock, TX 79424-0803 |
| Girish C Vallabhan | Urology | Lubbock Urology Clinic, LLP | 6102 82nd St, Suite 5, Lubbock, TX 79424-0803 |
| Find all physicians in zip 79424 | |||
| City | LUBBOCK |
| Zip Code | 79424 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LUBBOCK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kerry L Hendershot.
| 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.