MR. FREDERIC CHARLES HENDRICKSON DO NPI 1528056629

NPI Information

  • NPI: 1528056629
  • Provider Name: MR. FREDERIC CHARLES HENDRICKSON, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 11550 STATE ROUTE 500
    PAULDING, OH
    ZIP 45879
  • Phone: (419) 399-2630

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NPI Details

MR. Frederic Charles Hendrickson, DO is a family medicine in Paulding, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Frederic Charles Hendrickson, DO NPI is 1528056629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11550 STATE ROUTE 500
PAULDING, OH
ZIP 45879-173
Phone: (419) 399-2630
Fax: (419) 782-8853

The enumeration date for this NPI number is 10/12/2005 and was last updated on 3/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine34-00-5455OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E87924MEDICARE UPIN
2HE0714171MEDICARE ID-TYPE UNSPECIFIEDOHIO
30853170MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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