TIMOTHY HENDRICKSON DO NPI 1861468522

NPI Information

NPI: 1861468522
Provider Name: TIMOTHY HENDRICKSON, DO
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: HOSPITALIST SERVICES OF NEVADA-SCHERR PC

PECOS Registration: Yes

Address:
149 NORTH ST
MGHA HOSPITALIST PROGRAM
WATERVILLE, ME
ZIP 04901
Phone: (207) 626-1018
Get Directions

Timothy Hendrickson, DO is a nephrology internal medicine in Waterville, ME with 29 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Timothy Hendrickson, DO NPI is 1861468522. 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:

149 NORTH ST
MGHA HOSPITALIST PROGRAM
WATERVILLE, ME
ZIP 04901-974
Phone: (207) 626-1018
Fax: (207) 872-1214

The NPI 1861468522 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 2/23/2006 and was last updated on 7/3/2008.

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
1	207RN0300X	Internal Medicine	Nephrology	01573	MAINE	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
1	110209328	MEDICARE PIN	MAINE
2	310310099	MEDICAID	MAINE
3	G52574	MEDICARE UPIN	MAINE
4	MM8359	MEDICARE ID-TYPE UNSPECIFIED	MAINE

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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