Joe Henry Hendricks Jr. (NPI# 1407317191, PAC ID# 7719217371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407317191 |
| PAC ID by PECOS | 7719217371 |
| Professional Enrollment ID | I20190924002400 |
| Full Name | Joe Henry Hendricks Jr. |
| Organization Legal Name | GREENBRIER EMERGENCY SERVICES, INC. |
| Address |
122 12th St Ext Princeton Community Hospital Princeton WV 24740-2352 |
| Phone Number | 3044877000 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668377359 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510046 | PRINCETON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 122 12th St Ext, Princeton Community Hospital, Princeton, WV 24740-2352 | 3044877000 | GREENBRIER EMERGENCY SERVICES, INC. |
| Organization Legal Name | GREENBRIER EMERGENCY SERVICES, INC. |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany K Rusnak | Nurse Practitioner | Greenbrier Emergency Services, Inc. | 601 Colliers Way, Weirton, WV 26062-5091 |
| Sherri Lynn Williams | Nurse Practitioner | Greenbrier Emergency Services, Inc. | 100 Hoylman Dr, Gassaway, WV 26624-9318 |
| James (jed) E Darr Iii | Emergency Medicine | Greenbrier Emergency Services, Inc. | 3333 Springhill Dr, North Little Rock, AR 72117-2922 |
| Tina Berry | Nurse Practitioner | Greenbrier Emergency Services, Inc. | 3333 Springhill Dr, North Little Rock, AR 72117-2922 |
| Lori B Bacon | Emergency Medicine | Greenbrier Emergency Services, Inc. | 3333 Springhill Dr, North Little Rock, AR 72117-2922 |
| Amos Mart Lane | Emergency Medicine | Greenbrier Emergency Services, Inc. | 122 12th St Ext, Princeton Community Hospital, Princeton, WV 24740-2352 |
| Keith E Brown | Emergency Medicine | Greenbrier Emergency Services, Inc. | 3333 Springhill Dr, North Little Rock, AR 72117-2922 |
| Olivia K Davis | Nurse Practitioner | Greenbrier Emergency Services, Inc. | 3333 Springhill Dr, North Little Rock, AR 72117-2922 |
| Martha G Bush | Emergency Medicine | Greenbrier Emergency Services, Inc. | 3333 Springhill Dr, North Little Rock, AR 72117-2922 |
| James C Rice | Internal Medicine | Greenbrier Emergency Services, Inc. | 3333 Springhill Dr, North Little Rock, AR 72117-2922 |
| Street Address |
122 12TH ST EXT PRINCETON COMMUNITY HOSPITAL |
| City | PRINCETON |
| State | WV |
| Zip | 24740-2352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Morrison | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Amos Mart Lane | Emergency Medicine | Greenbrier Emergency Services, Inc. | 122 12th St Ext, Princeton Community Hospital, Princeton, WV 24740-2352 |
| Erez A Ofir | Anesthesiology | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Caressa Rae Southers | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Jodi Renea Bowles | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Kenneth Parker | Anesthesiology | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Mary S Curry | Nurse Practitioner | Greenbrier Emergency Services, Inc. | 122 12th St Ext, Princeton Community Hospital, Princeton, WV 24740-2352 |
| Sherri Burton Ross | Anesthesiology | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Ronald D Beatty | Certified Registered Nurse Anesthetist (crna) | East River Anesthesiology Inc | 122 12th St Ext, Princeton, WV 24740-2352 |
| Adam Dale Miller | Family Medicine | Greenbrier Emergency Services, Inc. | 122 12th St Ext, Princeton Community Hospital, Princeton, WV 24740-2352 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
| Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
| Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
| Find all physicians in zip 24740 | |||
| City | PRINCETON |
| Zip Code | 24740 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PRINCETON + NURSE PRACTITIONER |
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| 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.