Larry D Hendricks, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

005960 Issued in MI

Practice address

8365 Circlewood Drive N.
Saginaw, MI 48609

Phone

(989) 245-8031

NPI assigned

Aug 4, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1720096621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8365 CIRCLEWOOD DRIVE N.",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48609",
            "telephone_number": "989-245-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8365 CIRCLEWOOD DRIVE N.",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48609",
            "telephone_number": "989-245-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "LARRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "005960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1956592",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anyah Lashawn Henderson
• Christine A Henderson, NP-C
• Elizabeth Henderson
• Tyra Lynn Henderson
• Ashley Hendrick, OTRL
• Alexandra Jennette Hengy
• Louri Ann Henk, DO
• Kathryn Henne, OTRL
• Marcia Henne
• Shannon Margaret Hennessy

• Internal Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.