HENDRICK PROVIDER NETWORK
NPI 1396961322
Internal Medicine in Abilene, TX

NPI Status: Active since April 18, 2007

Contact Information

1904 PINE ST
SUITE 200
ABILENE, TX
ZIP 79601
Phone: (325) 670-4220

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  • Organization
  • Internal Medicine
  • Accepts Insurance

About HENDRICK PROVIDER NETWORK

This page provides the complete NPI Profile along with additional information for Hendrick Provider Network, an internist established in Abilene, Texas operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1396961322 assigned on April 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Hendrick Provider Network operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Joe Pearson (Vp Regional Services)

NPI
1396961322
Provider Name
HENDRICK PROVIDER NETWORK
Entity Type
Organization
Location Address
1904 PINE ST SUITE 200 ABILENE, TX 79601
Location Phone
(325) 670-4220
Mailing Address
PO BOX 1198 ABILENE, TX 79604
Mailing Phone
(325) 670-4220
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2007
Last Update Date
03-12-2013
Code Navigator

An internist like Hendrick Provider Network is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
3207RH0002XAllopathic & Osteopathic Physicians

Internal Medicine
Hospice and Palliative Medicine

 
4207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

 
5207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 
6207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 
7207RS0012XAllopathic & Osteopathic Physicians

Internal Medicine
Sleep Medicine

 
8207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
9207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 
102084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
11208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOE PEARSON

Authorized Official Title
VP REGIONAL SERVICES
Authorized Official Phone
(325) 670-7106

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0060AEOTHER (01)TXBLUE CROSS BLUE SHIELD
0060AEMEDICARE ID-TYPE UNSPECIFIED (04)TXMEDICARE
080866901MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396961322
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186186234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 8 + 6 + 2 + 3 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1396961322 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245226927 IBRAHIM S FAKHOURY MD
Individual
Internal Medicine (Nephrology)1904 PINE ST SUITE 4B
ABILENE, TX 79601
(325) 670-4494
1649397977THEODORE C. DYER, M.D., P.A.
Organization
Otolaryngology (Pediatric Otolaryngology)1904 PINE ST SUITE 200
ABILENE, TX 79601
(325) 676-0557
1023342532ABILENE KIDNEY CLINIC, P.A.
Organization
Internal Medicine (Nephrology)1904 PINE ST SUITE 4B
ABILENE, TX 79601
(325) 670-4494
1295916450DR. RYAN Q. GREEN DDS, MD
Individual
Dentist (Oral and Maxillofacial Surgery)1904 PINE ST SUITE 1-D
ABILENE, TX 79601
(325) 232-8939
1730275041DR. GEORGE TOBY WILLIAMS M.D.
Individual
Internal Medicine1904 PINE ST SUITE 200
ABILENE, TX 79601
(325) 670-5570
1134155005 MIN GAO MD
Individual
Internal Medicine1904 PINE ST SUITE 200
ABILENE, TX 79601
(325) 670-5570
1790864528 ROBERT L STRIEGLER M.D.
Individual
Internal Medicine1904 PINE ST SUITE 200
ABILENE, TX 79601
(325) 670-5570
1366489908 SARAH FERGUSON M.D.
Individual
Internal Medicine1904 PINE ST SUITE 200
ABILENE, TX 79601
(325) 670-5570
1720277437WEST TEXAS LUNG CLINIC PA
Organization
Internal Medicine (Pulmonary Disease)1904 PINE ST STE. 4C
ABILENE, TX 79601
(325) 670-4033
1508874918 NEELIMA RYALI M.D.
Individual
Internal Medicine1904 PINE ST SUITE 200
ABILENE, TX 79601
(325) 670-5570
1568420693 YAMINI KALLA MD
Individual
Internal Medicine (Infectious Disease)1904 PINE ST STE 200
ABILENE, TX 79601
(325) 670-5570
1447243183DR. TAMARA STOJANOVIC MD
Individual
Internal Medicine (Pulmonary Disease)1904 PINE ST STE. 3A
ABILENE, TX 79601
(325) 670-4033
1114922713 BOPANNA MUCKATIRA M.D.
Individual
Internal Medicine1904 PINE ST STE 1 E
ABILENE, TX 79601
(325) 670-6900
1922250059BOPANNA MUCKATIRA MD, PA
Organization
Internal Medicine1904 PINE ST 1 E
ABILENE, TX 79601
(325) 670-6900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396961322, enumerated in the NPI registry as an "organization" on April 18, 2007

The provider is located at 1904 Pine St Suite 200 Abilene, Tx 79601 and the phone number is (325) 670-4220

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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