Physician Compare National (NPI:1124021381)

HEALTHCARE PROVIDER: RICKY DALE HENDRIX M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124021381
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294786281
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050422001216
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HENDRIX
	Individual professional last name
Provider First Name	RICKY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	603 W COURT ST
	Group Practice or individual's line 1 address
City	WINNFIELD
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	714832633
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NATCHITOCHES REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190090
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WINN PARISH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190019
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHRISTUS ST FRANCES CABRINI HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y