Ryan Matthew Hendricker, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

2018-01301 Issued in NC

Practice address

304 10TH Ave NE
Hickory, NC 28601-3883

Phone

(828) 322-2183

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Illinois Medical College, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carolina Ear Nose and Throat-Sinus and Allergy Center PAGroup PAC ID 9830101476, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143
• Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ryanhendricker@centhnsc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Ear, Nose & Throat-Sinus and Allergy Center PA

  • Otolaryngology Physician
  • Hickory, NC
  • NPI 1831151539

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Carolina Ear, Nose & Throat-Sinus and Allergy Center PA

  • Otolaryngology Physician
  • Morganton, NC
  • NPI 1043555899
  NPD
• Midwest Hearing Center

  • Hearing and Speech Clinic/Center
  • Peoria, IL
  • NPI 1518994714
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blue Ridge Healthcare Hospitals, Inc.

  • General Acute Care Hospital
  • Rutherford College, NC
  • NPI 1306821798
  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • Hematology & Oncology Physician
  • Morganton, NC
  • NPI 1417000837

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • Hematology & Oncology Physician
  • Valdese, NC
  • NPI 1487707964

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • General Acute Care Hospital
  • Morganton, NC
  • NPI 1700860491
  Care Compare affiliation
• Catawba Valley Medical Center

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1164495255
  Care Compare affiliation

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1316163066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 N. RT. 91",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "309-691-6616",
            "fax_number": "309-691-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 10TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013883",
            "telephone_number": "828-322-2183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 State Route 91",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616159541",
            "country_code": "US",
            "telephone_number": "309-691-6616",
            "fax_number": "309-691-2943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKER",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "57.010493",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "36.125963",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2018-01301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross K Henderson, CRNA
• Stacy Rumney Henderson
• Meagan Hendren, MS OTR/L
• Hendrick Home Care Hickory
• Hendrick Home Care Hickory, LLC
• Wendy Michelle Hendricks, MSSW LCAS
• Margaret Anne Hendrix, MA, NCC,LPC
• Jennifer Dagenhart Henline, CRNA
• Mark Henry Hennington, MD
• Thomas Paul Hensley, LPC, LCAS

• Otolaryngology Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.