Timothy Hendrickson (NPI# 1861468522, PAC ID# 6406952720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861468522 |
| PAC ID by PECOS | 6406952720 |
| Professional Enrollment ID | I20150728003209 |
| Full Name | Timothy Hendrickson |
| Organization Legal Name | HOSPITALIST SERVICES OF NEVADA-MANDAVIA PC |
| Address |
2001 Errecart Blvd Elko NV 89801-8333 |
| Phone Number | 7757385151 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEPHROLOGY |
| Group Practice PAC ID | 2466761440 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290008 | NORTHEASTERN NEVADA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2001 Errecart Blvd, Elko, NV 89801-8333 | 7757385151 | HOSPITALIST SERVICES OF NEVADA-MANDAVIA PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | HOSPITALIST SERVICES OF NEVADA-MANDAVIA PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aashish Khullar | Internal Medicine | Hospitalist Services of Nevada-mandavia PC | 2001 Errecart Blvd, Elko, NV 89801-8333 |
| Street Address |
2001 ERRECART BLVD |
| City | ELKO |
| State | NV |
| Zip | 89801-8333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul D Herman | Emergency Medicine | Crum,stefanko and Jones Ltd | 2001 Errecart Blvd, Ruby Crest Emergency Medicine, Elko, NV 89801-8333 |
| Kamas John Wing | Certified Registered Nurse Anesthetist (crna) | Western Anesthesia Provider Group Slonin PC | 2001 Errecart Blvd, Elko, NV 89801-8333 |
| Matthew L Rigby | Certified Registered Nurse Anesthetist (crna) | Western Anesthesia Provider Group Slonin PC | 2001 Errecart Blvd, Elko, NV 89801-8333 |
| Robert Jos Stefanko | Emergency Medicine | Crum,stefanko and Jones Ltd | 2001 Errecart Blvd, Ruby Crest Emergency Medicine, Elko, NV 89801-8333 |
| Lawrence J Pellegrini | Emergency Medicine | Crum,stefanko and Jones Ltd | 2001 Errecart Blvd, Ruby Crest Emergency Medicine, Elko, NV 89801-8333 |
| Jason Rogers | Diagnostic Radiology | Golding Radiology Ltd | 2001 Errecart Blvd, Elko, NV 89801-8333 |
| James R Cooper | Certified Registered Nurse Anesthetist (crna) | Western Anesthesia Provider Group Slonin PC | 2001 Errecart Blvd, Elko, NV 89801-8333 |
| Mitchell David Reynolds | Certified Registered Nurse Anesthetist (crna) | Western Anesthesia Provider Group Slonin PC | 2001 Errecart Blvd, Elko, NV 89801-8333 |
| Vijay S Sekhon | Diagnostic Radiology | Golding Radiology Ltd | 2001 Errecart Blvd, Elko, NV 89801-8333 |
| Lawrence H Roberts | General Surgery | Northeastern Nevada Physician Practices LLC | 2001 Errecart Blvd, Elko, NV 89801-8333 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad L Loberg | Physical Therapy | 2213 N 5th St, Suite B, Elko, NV 89801-2471 | |
| Skylar Lane Tarbet | Physical Therapy | Robert G Berry Jr Elko Chartered | 2219 N 5th St, Elko, NV 89801-2483 |
| Andrew L Geisler | Physical Medicine and Rehabilitation | Robert G Berry Jr Elko Chartered | 2219 N 5th St, Elko, NV 89801-2483 |
| Rebecca R Cailor | Nurse Practitioner | Robert G Berry Jr Elko Chartered | 2219 N 5th St, Elko, NV 89801-2483 |
| Jessica C Guyer | Physical Therapy | Robert G Berry Jr Elko Chartered | 2219 N 5th St, Elko, NV 89801-2483 |
| Betsy S Card | Diagnostic Radiology | High Desert Imaging LLC | 976 Mountain City Hwy, Elko, NV 89801-2728 |
| Earl Jay O Landrito | Diagnostic Radiology | High Desert Imaging LLC | 976 Mountain City Hwy, Elko, NV 89801-2728 |
| Karen L Wright | Family Medicine | A Plus Urgent Care LLC | 976 Mountain City Hwy, Elko, NV 89801-2728 |
| Jay Peter Lao | Nurse Practitioner | A Plus Urgent Care LLC | 976 Mountain City Hwy, Elko, NV 89801-2728 |
| Gary Turner | Interventional Radiology | High Desert Imaging LLC | 976 Mountain City Hwy, Elko, NV 89801-2728 |
| Find all physicians in zip 89801 | |||
| City | ELKO |
| Zip Code | 89801 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ELKO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Timothy 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.