Organization Active NPI

Panhandle Dialysis Medical Directors, PA

  • Nephrology Physician
  • Amarillo, TX
National Provider Identifier
1780005470
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PANHANDLE DIALYSIS MEDICAL DIRECTORS, PA
Practice address
1805 Point West Pkwy
Ste 100
Amarillo, TX 79124-2165
Phone
(806) 418-8620
NPI assigned
Dec 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Hendrick, MD
Title
Partner
Phone
(806) 418-8620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1805 Point West Pkwy
Ste 100
Amarillo, TX 79124-2165

Mailing address

1805 Point West Pkwy
Ste 100
Amarillo, TX 79124-2165
Phone (806) 418-8620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1780005470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 POINT WEST PKWY",
            "address_2": "STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242165",
            "telephone_number": "806-418-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 POINT WEST PKWY",
            "address_2": "STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242165",
            "telephone_number": "806-418-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE DIALYSIS MEDICAL DIRECTORS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "806-418-8620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.