Martin Hendrickson, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34-006007 Issued in OH

Practice address

717 Canton Rd
Akron, OH 44312-2606

Phone

(330) 733-4031

Fax

(330) 733-7887

NPI assigned

Jul 22, 2006

Last updated

Dec 4, 2015By 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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Internal Medicine of Akron

  dba Partners Physician Group

  • Internal Medicine Physician
  • Akron, OH
  • NPI 1477645935
  NPD (past)
• Partners Phyisician Group

  dba Thompson Orthopaedics

  • Orthopaedic Surgery Physician
  • Akron, OH
  • NPI 1679845069
  NPD (past)
• Partners Physician Group

  dba Bath Medical Group

  • Family Medicine Physician
  • Akron, OH
  • NPI 1023301025
  NPD (past)
• Partners Physician Group

  dba Andrew H. Fenton, MD

  • Surgery Physician
  • Akron, OH
  • NPI 1023392149
  NPD (past)
• Partners Physician Group

  dba Northeast Ohio Orthopaedic Associates

  • Orthopaedic Foot and Ankle Surgery Physician
  • Mogadore, OH
  • NPI 1033476908
  NPD (past)
• Partners Physician Group

  dba Akron Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Akron, OH
  • NPI 1043511595
  NPD (past)
• Partners Physician Group

  • Orthopaedic Surgery Physician
  • Akron, OH
  • NPI 1104864578
  NPD (past)
• Partners Physician Group

  dba Akron General Surgical Associates

  • Surgery Physician
  • Akron, OH
  • NPI 1114201233
  NPD (past)
• Partners Physician Group

  • Surgery Physician
  • Lodi, OH
  • NPI 1124067160
  NPD (past)
• Partners Physician Group

  dba Cardiology

  • Cardiovascular Disease Physician
  • Akron, OH
  • NPI 1144262353
  NPD (past)
• Partners Physician Group

  dba Cardiac, Thoracic & Vascular Specialists

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Akron, OH
  • NPI 1144401464
  NPD (past)
• Partners Physician Group

  dba Akron General Express Care

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1184091621

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1619998952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 CANTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443122606",
            "telephone_number": "330-733-4031",
            "fax_number": "330-733-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CANTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443122606",
            "telephone_number": "330-733-4031",
            "fax_number": "330-733-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "MARTIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-006007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166681",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyajah Lashon Henderson
• Abigail Zarych Hendler, CRNA
• Nathan Hendon
• Aditya Dewanto Hendrani, M.D.
• Clate William Hendricks III
• Melissa Ann Henley, PHARMD, BCPP
• Megan Hennessey, LPC
• Holly Elizabeth Henry-Nuss, LISW-S
• Anajaira Lebron Henry
• Jennifer Henry, CT

• Internal Medicine Physician in Akron, OH
• Providers in Akron, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.