DR. MICHELLE HENDERSON (NPI# 1124028840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124028840 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE HENDERSON |
| Credential | MD |
| Practice Address |
699 W Cocoa Beach Cswy Ste 405 Cocoa Beach FL 32931-3577 |
| Mailing Address |
Po Box 561600 Rockledge FL 32956-1600 |
| Practice Telephone | 3218688330 |
| Practice Fax Number | 3218688336 |
| Mailing Telephone | 3214344600 |
| Mailing Fax Number | 3214344662 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2011-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME91540 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 271064100 | 05 | |
| FL | 1056501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477029015 | Michelle Henderson | Home Health | 100 Court St Se Ste 212, Live Oak, FL 32064-3203 | 2018-10-22 |
| 1083162762 | Michelle Henderson | Registered Nurse | 1175 County Road 459, Heflin, AL 36264-4090 | 2016-09-12 |
| 1710262969 | Michelle Marie Henderson | Pharmacist | 15500 Chenal Parkway, Little Rock, AR 72211 | 2011-10-19 |
| 1285180026 | Michelle Odum Henderson | Behavioral Analyst | 5566 Main St Ste 150, Frisco, TX 75033-3674 | 2016-08-31 |
| 1730580903 | Michelle Christine Henderson | Counselor | 18221 102nd Ave Ne, Bothell, WA 98011-3466 | 2014-09-08 |
| 1316387004 | Michelle Finn Henderson | Occupational Therapist | 3057 Lorna Rd, Suite 220, Birmingham, AL 35216-4514 | 2013-06-27 |
| 1831462696 | Michelle P Henderson | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2012-02-09 |
| 1417240060 | Michelle Lee Henderson | Nurse Practitioner | 406 N Willow St, Harrison, AR 72601-3517 | 2011-05-16 |
| 1841427978 | Michelle Reina Bosley Henderson | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2009-06-16 |
| 1235304841 | Michelle Viola Henderson | Specialist | 29 Chester Pike, Collingdale, PA 19023-2035 | 2008-04-24 |
| Street Address |
699 W COCOA BEACH CSWY STE 405 |
| City | COCOA BEACH |
| State | FL |
| Zip Code | 32931-3577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790785426 | Dusan Sabol | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 506, Cocoa Beach, FL 32931 | 2005-07-22 |
| 1245782838 | Patricia Gallagher Harvey | Nurse Practitioner | 699 W Cocoa Beach Cswy, 405, Cocoa Beach, FL 32931-3577 | 2016-10-29 |
| 1891070330 | Kimberly Melissa Bates | Nurse Practitioner | 699 W Cocoa Beach Cswy, Suite 603, Cocoa Beach, FL 32931-3577 | 2011-10-16 |
| 1083940381 | Sandra M Jennings Ingle | Nurse Practitioner | 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931-3577 | 2009-10-22 |
| 1891021119 | Allysia Affonso | Nurse Practitioner | 699 W Cocoa Beach Cswy, Suite 503, Cocoa Beach, FL 32931-3577 | 2009-10-21 |
| 1639320880 | Joseph John Bedway Jr. | Surgery | 699 W Cocoa Beach Cswy, Suite 505, Cocoa Beach, FL 32931-3577 | 2008-10-07 |
| 1013180611 | Patrick R. Sonser | Physical Medicine & Rehabilitation | 699 W Cocoa Beach Cswy, Suite 405, Cocoa Beach, FL 32931-3577 | 2008-04-04 |
| 1689843211 | Health First Physicians, Inc | Durable Medical Equipment & Medical Supplies | 699 W Cocoa Beach Cswy, Suite 405, Cocoa Beach, FL 32931-3577 | 2008-02-28 |
| 1093913550 | Hassan Borghei | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931-3577 | 2007-07-06 |
| 1679790513 | Will Wei Xiong | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 502, Cocoa Beach, FL 32931-3577 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275016 | Daniel Edgar Ferrier | Specialist/Technologist | 741 S Orlando Ave Apt B, Cocoa Beach, FL 32931 | 2018-02-13 |
| 1891206793 | Peace Club Inc. | Counselor | 1811 S. Orlando Avenue, Cocoa Beach, FL 32931 | 2017-10-18 |
| 1811384696 | Magnolia House Assisted Living Facility LLC | Assisted Living Facility | 103 Yacht Haven Drive, Cocoa Beach, FL 32931 | 2015-04-20 |
| 1801236807 | Muhammad Ishfaq | Internal Medicine | 701 W Cocoa Beach Causeway, Cocoa Beach, FL 32931 | 2013-07-05 |
| 1053658799 | Charles King | Pharmacist | 2067 North Atlantic Ave, Cocoa Beach, FL 32931 | 2013-01-15 |
| 1033464441 | Cori Megan Daniels | Nurse Practitioner | 1980 N. Atlantic Ave, Suite 627, Cocoa Beach, FL 32931 | 2012-07-23 |
| 1871850313 | Adel Tadros Fahmy | Obstetrics & Gynecology | 68 Country Club Road, Cocoa Beach, FL 32931 | 2012-04-23 |
| 1497021760 | Armstrong Chiropractic Family Center, Inc. | Clinic/Center | 1401 N. Atlantic Ave., Cocoa Beach, FL 32931 | 2012-03-30 |
| 1710261516 | Jill L Carey | Speech-Language Pathologist | 50 Country Club Rd, Cocoa Beach, FL 32931 | 2011-09-28 |
| 1700173416 | Barbara Greene | Registered Nurse | 26 West Point Drive, Cocoa Beach, FL 32931 | 2011-07-01 |
| Find all providers in zip 32931 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526207 | Health First Medical Group, LLC | Orthopaedic Surgery | 699 West Cocoa Beach Causeway, Suite 405, Cocoa Beach, FL 32931-3562 | 2019-12-31 |
| 1336240803 | Richard J. Pfeiffer | Orthopaedic Surgery | 699 W Cocoa Beach Cswy Ste 405, Cocoa Beach, FL 32931-3562 | 2006-09-26 |
| 1700047495 | Wu Zhuge | Orthopaedic Surgery | 699 W Cocoa Beach Cswy Ste 405, Cocoa Beach, FL 32931-3562 | 2008-06-24 |
| 1932249257 | Orthopaedic Specialists Pa | Orthopaedic Surgery | 699 W Cocoa Beach Cswy, Ste 405, Cocoa Beach, FL 32931-3577 | 2007-02-07 |
| 1629060512 | Mark Steven Callenberger | Orthopaedic Surgery | 333 W Cocoa Beach Cswy, Ste E, Cocoa Beach, FL 32931-3513 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1306451778 | Daniel Alfonso Moreno | Orthopaedic Surgery | 7622 Sw 129th Pl, Miami, FL 33183-4251 | 2020-09-13 |
| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1659998904 | Orthopaedic Associates, Pa | Orthopaedic Surgery | 5300 S Ferdon Blvd, Crestview, FL 32536-5235 | 2020-07-02 |
| 1912529868 | Edward Frank Spievack | Orthopaedic Surgery | 30 W High Point Rd, Stuart, FL 34996-7020 | 2020-05-14 |
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1174156848 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 10141 Big Bend Rd Ste 201, Riverview, FL 33578-7421 | 2020-02-20 |
| 1104459874 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1901 Haverford Ave Ste 107, Sun City Center, FL 33573-5200 | 2020-02-20 |
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | COCOA BEACH |
| Zip Code | 32931 |
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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.