Active NPI
Todd R Hedrick, PA-C
- Physician Assistant
- Cincinnati, OH
National Provider Identifier
1881762490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50-00-0694
- Practice address
- 3200 Vine St
Cincinnati, OH 45220-2213 - Phone
- (513) 487-6039
- NPI assigned
- Dec 1, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50-00-0694 | OH | Primary |
Addresses
Primary practice location
3200 Vine St
Cincinnati, OH 45220-2213
Mailing address
4685 Forest Ave
Ste C
Cincinnati, OH 45212-3359
Phone (513) 487-6039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000644128 | Other | OH | ANTHEM |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanguard Medical | Past | Accepting new patients | |
| Orthopaedic Consultants of Cincinnati, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Wellington Orthopaedic & Sports Medicine
- Orthopaedic Surgery Physician
- Cincinnati, OH
- NPI 1396792529
-
- Emergency Medicine Physician
- Cincinnati, OH
- NPI 1457463051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1881762490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE",
"address_2": "STE C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123359",
"telephone_number": "513-487-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202213",
"telephone_number": "513-487-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDRICK",
"first_name": "TODD",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50-00-0694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000644128",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.