NPIMap

Organization Active NPI

Dr Robert Hendricks Inc

  • Family Medicine Physician
  • New Middletown, OH
National Provider Identifier
1922398601
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2094 Issued in OH
Legal business name
DR ROBERT HENDRICKS INC
Practice address
10251 Main Street
New Middletown, OH 44442
Phone
(330) 542-2315
Fax
(330) 542-9700
NPI assigned
Apr 14, 2011
Last updated
May 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Dr. Robert Edward Hendricks, D.O.NPI 1245204817
Title
President
Phone
(330) 542-2315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2094 OH Primary

Addresses

Primary practice location

10251 Main Street
New Middletown, OH 44442

Mailing address

P.O. Box 579
10251 Main Street
New Middletown, OH 44442
Phone (330) 542-2315

National Provider Directory

National Provider Directory

Locations

10251 Main St
New Middletwn, OH 44442
Phone (330) 542-2315

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1922398601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 579",
            "address_2": "10251 MAIN STREET",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "44442",
            "telephone_number": "330-542-2315",
            "fax_number": "330-542-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 MAIN STREET",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "44442",
            "telephone_number": "330-542-2315",
            "fax_number": "330-542-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT HENDRICKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-542-2315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "2094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.