HENDERSON HOSPITAL, LLC (NPI# 1043710437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043710437 |
| Entity Type | Organization |
| Organization Name | HENDERSON HOSPITAL, LLC |
| Practice Address |
300 Wilson St Henderson TX 75652-5956 |
| Mailing Address |
1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 |
| Practice Telephone | 9036556536 |
| Practice Fax Number | 9036576072 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966227 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |
| Authorized Official Name | STEPHEN C. PETROVICH (EVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639670466 | Henderson Hospital, LLC | Nurse Anesthetist, Certified Registered | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-27 |
| 1952800310 | Henderson Hospital, LLC | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-12 |
| 1326546797 | Henderson Hospital, LLC | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2018-01-31 |
| Street Address |
300 WILSON ST |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-5956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954509 | Shawna Elizabeth Sharp | Nurse Practitioner | 300 Wilson St, Henderson, TX 75652-5956 | 2020-05-21 |
| 1053953794 | Mica Ladon Norman | Nurse Practitioner | 300 Wilson St, Henderson, TX 75652-5956 | 2019-10-15 |
| 1639670466 | Henderson Hospital, LLC | Nurse Anesthetist, Certified Registered | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-27 |
| 1952800310 | Henderson Hospital, LLC | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-12 |
| 1326546797 | Henderson Hospital, LLC | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2018-01-31 |
| 1154730273 | Tanager Emergency Physicians Pllc | Emergency Medicine | 300 Wilson St, Henderson, TX 75652-5956 | 2014-08-04 |
| 1376828400 | Kwabena Agyapong Osman | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2011-10-20 |
| 1679899751 | Rusk Physician Services Pa | Hospitalist | 300 Wilson St, Henderson, TX 75652-5956 | 2010-04-14 |
| 1942437967 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2009-06-17 |
| 1083848352 | East Texas Medical Center Henderson | Nurse Anesthetist, Certified Registered | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521313 | Mahgerefteh Medical Pllc | Internal Medicine | 10624 S Eastern Ave Ste A-1015, Henderson, NV 89052-2982 | 2020-02-24 |
| 1780232421 | Toledo and Associates Ltd | Internal Medicine | 1546 W Warm Springs Rd Ste 100, Henderson, NV 89014-4326 | 2019-08-27 |
| 1528552379 | Snf Doctors of Henderson, Inc | Internal Medicine | 10410 S Eastern Ave Ste 100, Henderson, NV 89052-4196 | 2018-06-15 |
| 1063828226 | Premiere Home Services LLC | Internal Medicine | 688 Childrens Way, Henderson, NV 89052-4818 | 2014-07-09 |
| 1376973594 | Roy M Margallo Md | Internal Medicine | 10725 Prairie Wheat Ct, Henderson, NV 89052-8688 | 2013-11-25 |
| 1255779443 | Tiffany Therese Fonte | Internal Medicine | 108 E Lake Mead Pkwy Ste 302, Henderson, NV 89015 | 2013-06-10 |
| 1679864854 | Mpado Medical (amin) Ltd. | Internal Medicine | 11425 S Bermuda Rd, Henderson, NV 89052-8710 | 2011-04-22 |
| 1932498144 | Wendy Mojica | Internal Medicine | 10624 S Eastern Ave # A955, Henderson, NV 89052 | 2011-03-29 |
| 1912201104 | Elron Mighty | Internal Medicine | 745 S Green Valley Pkwy Ste 160, Henderson, NV 89052 | 2011-01-02 |
| 1295052322 | Joseph E. Dawa | Internal Medicine | 2900 W Horizon Ridge Pkwy Ste 221, Henderson, NV 89052-5014 | 2010-04-29 |
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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.