Kelly James Hendricks (NPI# 1043329147, PAC ID# 6709852254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1043329147 |
| PAC ID by PECOS | 6709852254 |
| Professional Enrollment ID | I20100913000057 |
| Full Name | Kelly James Hendricks |
| Organization Legal Name | MENORAH MEDICAL GROUP LLC |
| Address |
5701 W 119th St 410 Kansas City Joint Replacement Overland Park KS 66209-3721 |
| Phone Number | 9133456901 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1355535162 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170182 | MENORAH MEDICAL CENTER |
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 17331 E 40 Hwy 105, Select Physical Therapy 40819, Independence, MO 64055-6444 | 8164782333 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| 2301 S Missouri 291 Hwy, Select Physical Therapy 40818, Independence, MO 64057-1201 | 8163739328 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| 15605 W 87th St Pkwy, Suite 9, Lenexa, KS 66219-1435 | 9139628300 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| 5701 W 119th St, 410 Kansas City Joint Replacement, Overland Park, KS 66209-3721 | 9133456901 | MENORAH MEDICAL GROUP LLC |
| Organization Legal Name | MENORAH MEDICAL GROUP LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivane C Chua | Colorectal Surgery (proctology) | Menorah Medical Group LLC | 4370 W 109th St, Suite 350, Overland Park, KS 66211-1370 |
| Paige N Herschend | Nurse Practitioner | Menorah Medical Group LLC | 19550 E 39th St S, Suite 320, Independence, MO 64057-2358 |
| Jeremy W Cravens | Colorectal Surgery (proctology) | Menorah Medical Group LLC | 6060 N Oak Trfy, Suite 101, Gladstone, MO 64118-5189 |
| Karina Ortiz | Nurse Practitioner | Menorah Medical Group LLC | 5701 W 119th St, 410 Kansas City Joint Replacement, Overland Park, KS 66209-3721 |
| David W Anderson | Orthopedic Surgery | Menorah Medical Group LLC | 5701 W 119th St, 410 Kansas City Joint Replacement, Overland Park, KS 66209-3721 |
| Alicia Cross Tipton | Physician Assistant | Menorah Medical Group LLC | 5701 W 119th St, Overland Park, KS 66209-3721 |
| Matthew G Purtle | Physician Assistant | Menorah Medical Group LLC | 5701 W 119th St, Overland Park, KS 66209-3721 |
| Pierre Castera | Colorectal Surgery (proctology) | Menorah Medical Group LLC | 6060 N Oak Trfy, Suite 101, Gladstone, MO 64118-5189 |
| Katherine Wilson | Nurse Practitioner | Menorah Medical Group LLC | 5701 W 119th St, 410 Kansas City Joint Replacement, Overland Park, KS 66209-3721 |
| Aakash A Shah | Orthopedic Surgery | Menorah Medical Group LLC | 5701 W 119th St, Overland Park, KS 66209-3721 |
| Street Address |
5701 W 119TH ST 410 KANSAS CITY JOINT REPLACEMENT |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66209-3721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane E Stewart | Family Medicine | Kc Hospitalists Pa | 5701 W 119th St, Suite 220, Overland Park, KS 66209-3749 |
| Mark J Maslan | Otolaryngology | Ascentist Physicians Group LLC | 5701 W 119th St, Suite 425, Overland Park, KS 66209-3755 |
| Michael B Dahl | Internal Medicine | Medical Group of Kansas City LLC | 5701 W 119th St, Suite 115, Overland Park, KS 66209-3721 |
| Cesar D Rios | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 5701 W 119th St, Overland Park, KS 66209-3721 |
| Dawn L Petty | Nurse Practitioner | Mid-america Rheumatology Consultants | 5701 W 119th St, Suite 209, Overland Park, KS 66209-9999 |
| Rachael R Hartwich | Nurse Practitioner | Kc Hospitalists Pa | 5701 W 119th St, Suite 220, Overland Park, KS 66209-3749 |
| Brietta K Forbes | Internal Medicine | Town Plaza Family Practice LLC | 5701 W 119th St, 308 Menorah Pulmonary and Critical Care, Overland Park, KS 66209-3721 |
| Aaron Lee Doonan | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 5701 W 119th St, Overland Park, KS 66209-3721 |
| Andrew Bozarth | Pulmonary Disease | Town Plaza Family Practice LLC | 5701 W 119th St, 308 Menorah Pulmonary and Critical Care, Overland Park, KS 66209-3721 |
| Jamie D Leopold | Nurse Practitioner | Town Plaza Family Practice LLC | 5701 W 119th St, 308 Menorah Pulmonary and Critical Care, Overland Park, KS 66209-3721 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane Bisson | Chiropractic | Catalyst Health Center, Pa | 12100 State Line Rd, Leawood, KS 66209-1201 |
| Marcus S Juracek | Chiropractic | Catalyst Health Center, Pa | 12100 State Line Rd, Leawood, KS 66209-1201 |
| David Adam Boender | Chiropractic | Catalyst Health Center, Pa | 12100 State Line Rd, Leawood, KS 66209-1201 |
| Kenneth A Bono | Optometry | 12116 State Line Rd, Leawood, KS 66209-1254 | |
| Mary P Marshall | Psychologist, Clinical | 2221 W 124th St, Leawood, KS 66209-1305 | |
| William J Nowack | Neurology | Remote Neuromonitoring Physicians PC | 12417 Howe Dr, Leawood, KS 66209-1451 |
| Nelopher Hathiary | Internal Medicine | 12720 State Line Rd, Leawood, KS 66209-1619 | |
| Deborah R Hellinger | Diagnostic Radiology | Brfhh Monroe LLC | 13213 Overbrook Rd, Leawood, KS 66209-1628 |
| Michael J Reilly | Emergency Medicine | Kansas City Community Hospital LLC | 13200 State Line Rd, Leawood, KS 66209-1701 |
| Anne Marie B Hall | Emergency Medicine | Kansas City Community Hospital LLC | 13200 State Line Rd, Leawood, KS 66209-1701 |
| Find all physicians in zip 66209 | |||
| City | OVERLAND PARK |
| Zip Code | 66209 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | OVERLAND PARK + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Kelly James Hendricks.
| 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.