Organization Active NPI

Hendrick Anesthesia Network

  • Specialist
  • Abilene, TX
National Provider Identifier
1851394993
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HENDRICK ANESTHESIA NETWORK
Practice address
1900 Pine St
Abilene, TX 79601-2432
Phone
(325) 670-4220
Fax
(325) 672-8292
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kari Polk
Title
Administrator
Phone
(325) 670-4393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X TX Primary

Addresses

Primary practice location

1900 Pine St
Abilene, TX 79601-2432

Mailing address

PO Box 975503
Dallas, TX 75397-5503
Phone (325) 670-4220

Other identifiers 1

IdentifierTypeStateIssuer
095027103MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505001856 TX Part B Supplier - Clinic/Group Practice 3274521281 Receives reassigned benefits from 197 practitioners
Practice locations: Abilene, TX

National Provider Directory

National Provider Directory

Locations

1725 Hickory St
Abilene, TX 79601
Phone (325) 439-5670

1317 N 8th St
Ste 200
Abilene, TX 79601
Phone (325) 672-5683

1317 N 8th St
Abilene, TX 79601

301 Cypress St
Ste 600
Abilene, TX 79601

Practitioners & affiliated clinicians

Practitioners 255

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 255

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851394993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975503",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753975503",
            "telephone_number": "325-670-4220",
            "fax_number": "325-672-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012432",
            "telephone_number": "325-670-4220",
            "fax_number": "325-672-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK ANESTHESIA NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-670-4393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095027103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.