ANN MARIE HENDRZAK MD NPI 1558426502

NPI Information

NPI: 1558426502
Provider Name: ANN MARIE HENDRZAK, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: NORTHWESTERN MEDICAL CENTER INC

PECOS Registration: Yes

Address:
319 LYCEUM AVE
PHILADELPHIA, PA
ZIP 19128
Phone: (215) 482-9669
Get Directions

Ann Marie Hendrzak, MD is an obstetrics gynecology in Philadelphia, PA with 30 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Ann Marie Hendrzak, MD NPI is 1558426502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

319 LYCEUM AVE
PHILADELPHIA, PA
ZIP 19128
Phone: (215) 482-9669

The NPI 1558426502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 11/8/2010.

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	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	43688	COLORADO	No
2	207V00000X	Obstetrics & Gynecology	9553	NORTH DAKOTA	No
3	207V00000X	Obstetrics & Gynecology	2004029822	MISSOURI	No
4	207V00000X	Obstetrics & Gynecology	017395	MAINE	No
5	207V00000X	Obstetrics & Gynecology	14607	HAWAII	No
6	207V00000X	Obstetrics & Gynecology	7106580-1205	UTAH	No
7	207V00000X	Obstetrics & Gynecology	060606L	PENNSYLVANIA	Yes

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
1	G82217	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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