Timothy Hendrickson, DO

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

01573 Issued in ME

Practice address

149 North St
Mgha Hospitalist Program
Waterville, ME 04901-4974

Phone

(207) 626-1018

Fax

(207) 872-1214

NPI assigned

Feb 23, 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

Enrolled in ME, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy_hendrickson_md@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Medicine Services of Maine LLC

  • Hospitalist Physician
  • Ellsworth, ME
  • NPI 1538638432
  Medicare reassignment NPD
• Maine Medical Services LLC

  • Hospitalist Physician
  • Ellsworth, ME
  • NPI 1053878371
  Medicare reassignment NPD
• Bessler MD, PLLC

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1801288774
  Medicare reassignment NPD
• Hospitalist Services of Nevada-Scherr, PC

  • Hospitalist Physician
  • Elko, NV
  • NPI 1831573690
  Medicare reassignment NPD
• Maine Coast Regional Health Facilities

  • General Acute Care Hospital
  • Ellsworth, ME
  • NPI 1740249739
  NPD (past)
• Gold Country Emergency Physicians Medical Group Inc

  • Hospitalist Physician
  • Turlock, CA
  • NPI 1174825947
  NPD (past)
• Quantum Healthcare Medical Associates Inc.

  • Hospitalist Physician
  • Colton, CA
  • NPI 1568490597
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1861468522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 NORTH ST",
            "address_2": "MGHA HOSPITALIST PROGRAM",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014974",
            "telephone_number": "207-626-1018",
            "fax_number": "207-626-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NORTH ST",
            "address_2": "MGHA HOSPITALIST PROGRAM",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014974",
            "telephone_number": "207-626-1018",
            "fax_number": "207-872-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "TIMOTHY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ME",
            "license": "01573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310310099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Psych Maine LLC
• Health Psych Maine, LLC
• Healthreach Community Health Centers
• Kristen Marie Heil, ED.S.
• Elizabeth Ann Held, PA-C
• Aimee Herron, CCC-SLP
• Kellie Lee Hess, RN
• Christie L Hesseltine, LADC
• Audrey Marie Hibbard, RN-C
• John C Hickey, M.D.

• Nephrology Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Nephrology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.