Organization Active NPI

Frederick B. Hendricks, MD PC

  • Urology Physician
  • Washington, DC
National Provider Identifier
1306169495
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD25557 Issued in DC
Legal business name
FREDERICK B. HENDRICKS, MD PC
Practice address
2141 K St.
Suite 308
Washington, DC 20037
Phone
(202) 293-9244
Fax
(202) 331-1326
NPI assigned
Mar 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frederick Hendricks, MD
Title
Owner
Phone
(202) 293-9244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD25557 DC Primary

Addresses

Primary practice location

2141 K St.
Suite 308
Washington, DC 20037

Mailing address

2141 K St.
Suite 308
Washington, DC 20037

Other identifiers 1

IdentifierTypeStateIssuer
024014200MedicaidDC

National Provider Directory

National Provider Directory

Locations

2141 K St NW
Ste 308
Washington, DC 20037
Phone (202) 293-9244

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1306169495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 K ST.",
            "address_2": "SUITE 308",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 K ST.",
            "address_2": "SUITE 308",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20037",
            "telephone_number": "202-293-9244",
            "fax_number": "202-331-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK B. HENDRICKS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-293-9244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "DC",
            "license": "MD25557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024014200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.