Active NPI
Scott Curtis Hendrickson, DO
- Anesthesiology Physician
- Heber City, UT
National Provider Identifier
1669628434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 10498786-1204
- Practice address
- 1485 S Highway 40
Heber City, UT 84032-3522 - Phone
- (435) 654-2500
- Fax
- (770) 701-6676
- NPI assigned
- Aug 13, 2008
- Last updated
- Nov 29, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SL0585 | NV | |
| Anesthesiology Physician | 207L00000X | 02003876A | IN | |
| Anesthesiology Physician | 207L00000X | 10498786-1204 | UT | Primary |
Addresses
Primary practice location
1485 S Highway 40
Heber City, UT 84032-3522
Mailing address
PO Box 3750
Salt Lake City, UT 84110-3750
Phone (800) 748-4868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01424362 | Other | IN | RAIL ROAD PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 N Triumph Blvd
Lehi, UT 84043-7186
Phone (385) 345-3000
454 E Medical Way
Heber City, UT 84032-1391
Phone (435) 654-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL0585 | NV | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Anesthesiology | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Legacy Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
Locations
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500
Interoperability endpoints
- shendrickson42526@ecommunitydirect.com
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Heber City, UT
- NPI 1851764112
-
dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
Anesthesiology
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
dba Intermountain Health Heber Valley Hospital
- Critical Access Hospital
- Heber City, UT
- NPI 1316055205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1669628434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3750",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841103750",
"telephone_number": "800-748-4868",
"fax_number": "770-701-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 S HIGHWAY 40",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840323522",
"telephone_number": "435-654-2500",
"fax_number": "770-701-6676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "SCOTT",
"middle_name": "CURTIS",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "SL0585",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "02003876A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "10498786-1204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD PTAN",
"identifier": "P01424362",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Heber City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.