Jared Mark Hendler, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00016589 Issued in WA

Practice address

231 Madison Ave S
Bainbridge Island, WA 98110-2503

Phone

(206) 842-2777

Fax

(206) 842-2999

NPI assigned

Jan 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 22, 2015 through Jul 22, 2027

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 and National Provider Directory roles.

• Gregory Keyes MD PS

  • Family Medicine Physician
  • Bainbridge Island, WA
  • NPI 1174623383
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639221815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MADISON AVE S",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102503",
            "telephone_number": "206-842-2777",
            "fax_number": "206-842-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MADISON AVE S",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102503",
            "telephone_number": "206-842-2777",
            "fax_number": "206-842-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDLER",
        "first_name": "JARED",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00016589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Ancestor 5 Element Acupuncture LLC
• Victoria Gast Heemstra, MA
• Jennifer Marie Heiger, N.D.
• Keith Ronald Heinzelman, DPT, CHT, MTC
• Margalyn Hemphill, LMHCA
• Ryan Henesey
• Trenton Hepting
• Sally Jean Hewett, D.D.S.
• Erica Hickson, ARNP
• Heather Irene High, M.S. BEHAVIOR SCIENC

• Family Medicine Physician in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.