MARVIN GRAVES HENDERSON (NPI# 1013025535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013025535 |
| Entity Type | Individual |
| Full Name | MARVIN GRAVES HENDERSON |
| Credential | MD |
| Practice Address |
6901 N 72 Street Omaha NE 68122 |
| Mailing Address |
Po Box 34310 Omaha NE 68134 |
| Practice Telephone | 4027789738 |
| Practice Fax Number | 4023342849 |
| Mailing Telephone | 4027789738 |
| Mailing Fax Number | 4023342849 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 24054 | IA | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | 16232 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2213876 | 05 | |
| NE | 47-0550438-13 | 05 |
| Street Address |
6901 N 72 STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245348754 | Scott Denman Wilt | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1891898946 | Laurence Matthew Raynor | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-09-06 |
| 1598873002 | Timothy John Goc | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1780792200 | Thuc Huu Tran | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1114035649 | Edward Paul Drobny | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1497863914 | Anthony Richard Keber | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1083722508 | Shelley Kay Foutch | Nurse Anesthetist, Certified Registered | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1891803300 | Northwest Anesthesia PC | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609282920 | Andre Jordan | Registered Nurse | 7215 N. 90th Street, Omaha, NE 68122 | 2014-07-08 |
| 1063748895 | Amy Kristine Jones | Speech-Language Pathologist | 703 Country View Dr, Champaign, IL 68122 | 2009-10-29 |
| 1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
| 1093835852 | Suzane Lynne Bohlen | Nurse Anesthetist, Certified Registered | 6901 N 72 St, Omaha, NE 68122 | 2007-03-29 |
| 1376686733 | Midwest Surgical Associates PC | Surgery | 6828 N 72 St, #5500, Omaha, NE 68122 | 2007-02-15 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
| 1982620639 | Robert J Zadalis | Surgery | 6829 N 72nd St Ste 5500, Omaha, NE 68122 | 2006-07-14 |
| 1245299304 | Kristin Nicole Krobot | Physician Assistant | 6901 N. 72nd St., Immanuel Emergency Room, Omaha, NE 68122 | 2006-03-18 |
| 1326575440 | Kathleen L Koeppel | Registered Nurse | 6901 N 72nd Street, Attn: Diabetic Education, Omaha, NE 68122 | 2017-05-19 |
| 1477008571 | Rabie Emsalem | Internal Medicine | 6901 N 72nd St, Omaha, NE 68122 | 2016-08-18 |
| Find all providers in zip 68122 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1457783995 | Thomas Joseph Manning IIi | Anesthesiology | Emile @ 2nd St, Omaha, NE 68198-4455 | 2013-08-07 |
| 1972866937 | Devin Troy Kearns | Anesthesiology | 42 Nd and Emile, Omaha, NE 68198-0001 | 2012-06-24 |
| 1366702789 | Shaun Louis Thompson | Anesthesiology | 42nd and Emile St., Omaha, NE 68198-4150 | 2012-05-18 |
| 1104113109 | Kenneth Paul Barjenbruch | Anesthesiology | 9733 Spring Street, Omaha, NE 68124 | 2011-06-29 |
| 1639469927 | Derrick Metschke | Anesthesiology | 1101 N. 50th Ave, Omaha, NE 68132 | 2011-04-08 |
| 1598070757 | Amber N Guck | Anesthesiology | S 42nd & Emile Street, Omaha, NE 68198-1091 | 2010-08-12 |
| 1346471448 | Aungnainghtun Myasein | Anesthesiology | 601north 30th St, Creighton University-gme, Omaha, NE 68131 | 2009-08-06 |
| 1902061427 | Mark Devoy Reisbig | Anesthesiology | Unmc Anesthesiology, 984455 Nebraska Medical Center, Omaha, NE 68198-4455 | 2008-07-24 |
| 1174787188 | Joseph Adam Robinson | Anesthesiology | 984285 Nebraska Medical Ctr, Omaha, NE 68198-4285 | 2008-07-18 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.