John Easton Hendry III, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G20774 Issued in CA

Practice address

5525 Dewey Dr
Suite 104
Fair Oaks, CA 95628-3129

Phone

(916) 961-1373

Fax

(916) 961-1377

NPI assigned

Jun 6, 2006

Last updated

Feb 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 Medicine

State licenses

Practice roles

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.

• Women's Health Care Consultants Medical Group, Incorporated

  • Obstetrics & Gynecology Physician
  • Carmichael, CA
  • NPI 1225085798
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1558301010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 DEWEY DR",
            "address_2": "SUITE 104",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283129",
            "telephone_number": "916-961-1373",
            "fax_number": "916-961-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 DEWEY DR",
            "address_2": "SUITE 104",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283129",
            "telephone_number": "916-961-1373",
            "fax_number": "916-961-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRY",
        "first_name": "JOHN",
        "middle_name": "EASTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G20774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G207740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Psychology Sacramento
• Healthy Living Primary Care, Inc
• Heart for Elders LLC
• Alyssa Heeb
• Roy Edward Henderson, M.A.
• Michelle Her
• Liz Karime Hernandez Gonzalez, M.D.
• Cesar Hernandez, PHARMD
• Erica Michelle Hernandez
• Jessica Hernandez

• Obstetrics & Gynecology Physician in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.