Active NPI
Arlie W. Hedrick, DO
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Chandler, AZ
National Provider Identifier
1982699047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 4081
- Practice address
- 1955 W Frye Rd
Chandler, AZ 85224-6282 - Phone
- (480) 728-3895
- Fax
- (480) 728-3610
- NPI assigned
- Sep 14, 2005
- Last updated
- Jul 23, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 4081 | AZ | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 4081 | AZ | Primary |
Addresses
Primary practice location
1955 W Frye Rd
Chandler, AZ 85224-6282
Mailing address
3030 N Central Ave Ste 1001
Phoenix, AZ 85012-2716
Phone (602) 406-4786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 864505 | Other | AZ | AHCCCS |
Other names 1
- Pete Hedrick
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4081 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Arizona, LLC | Past | Accepting new patients | |
| Livi Medical Services LLC | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Payson, AZ
- NPI 1740459700
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- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
Radiation Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1982699047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 N CENTRAL AVE STE 1001",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122716",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 W FRYE RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246282",
"telephone_number": "480-728-3895",
"fax_number": "480-728-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDRICK",
"first_name": "ARLIE",
"middle_name": "W.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AZ",
"license": "4081",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "AZ",
"license": "4081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "864505",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PETE",
"last_name": "HEDRICK",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.