Active NPI
Donald Charles Hendrickson, M.D.
- Pediatrics Physician
- Chambersburg, PA
National Provider Identifier
1740287655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD017657E
- Practice address
- 176 S Coldbrook Ave
Chambersburg, PA 17201-2714 - Phone
- (717) 263-0550
- Fax
- (717) 263-8898
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD017657E | PA | Primary |
Addresses
Primary practice location
176 S Coldbrook Ave
Chambersburg, PA 17201-2714
Mailing address
755 Norland Ave
Suite 200
Chambersburg, PA 17201-4221
Phone (717) 263-2230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000646951 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD017657E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1740287655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 NORLAND AVE",
"address_2": "SUITE 200",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014221",
"telephone_number": "717-263-2230",
"fax_number": "717-263-4182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 S COLDBROOK AVE",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012714",
"telephone_number": "717-263-0550",
"fax_number": "717-263-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "DONALD",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD017657E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000646951",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.