Douglas Brian Hendrex, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28855 Issued in OK

Practice address

612 S 12TH St
Fort Smith, AR 72901-4702

Phone

(479) 785-2431

NPI assigned

Jun 1, 2009

Last updated

Mar 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Shoal Creek Foot and Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Joplin, MO
  • NPI 1346722055
  Medicare reassignment NPD
• Shoal Creek Foot and Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Springfield, MO
  • NPI 1538884697
  NPD
• Shoal Creek Foot and Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Joplin, MO
  • NPI 1750853313
  NPD (past)

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1447486790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 S HIGHWAY 69A",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541016",
            "telephone_number": "918-542-1655",
            "fax_number": "918-542-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "479-785-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDREX",
        "first_name": "DOUGLAS",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "28855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Heim, MD
• Clare Heinrichs
• Donna Lynne Helmer, M.S., CCC-SLP
• Haley Helmert, MCD, CCC-SLP
• Jeremy Helms
• Jon R Hendrickson, MD
• Kathryn Denise Hendrickson, MD
• Kayla Henness
• Henry J Udouj, D.D.S., P.a.
• James T Henry, MD

• Family Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.