PHILIP E HENDERSON (NPI# 1225032709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225032709 |
| Entity Type | Individual |
| Full Name | PHILIP E HENDERSON |
| Credential | MD |
| Practice Address |
8501 Meadow Crk Rockford MI 49341-7524 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677884 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301052857 | MI | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 4301052857 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316963358 | Philip Norton Henderson | Clinic/Center | 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | 2006-07-14 |
| 1447678834 | Philip Lee Henderson | Internal Medicine | 200 W Arbor Dr # 8425, San Diego, CA 92103-1911 | 2014-04-02 |
| 1265510945 | Philip E. Henderson | Family Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1548351133 | Philip E. Henderson | Obstetrics & Gynecology | 900 Pacific Ave, Suite 501, Everett, WA 98201-4168 | 2006-09-27 |
| Street Address |
8501 MEADOW CRK |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-7524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849611 | Diane Marie Vancamp | Pharmacist | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2019-06-13 |
| 1790299253 | Stephanie Anne Vander Velde | Physician Assistant | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2017-11-20 |
| 1477072700 | Dulcie Yancharas | Social Worker | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2017-09-19 |
| 1437692415 | Deborah St Pierre | Nurse Practitioner | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2016-11-23 |
| 1033569587 | Amber Gall | Nurse Practitioner | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2016-06-15 |
| 1528444833 | Travis Ryan Guest | Physician Assistant | 8501 Meadow Crk, Rockford, MI 49341 | 2015-08-10 |
| 1235511668 | Caesy Lewis Yarling | Neuromusculoskeletal Medicine & OMM | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2015-06-22 |
| 1982086302 | Matthew Bottke | Family Medicine | 8501 Meadow Crk, Rockford, MI 49341 | 2015-06-22 |
| 1346621356 | Tristale Williams | Social Worker | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2015-06-16 |
| 1184011207 | Kaili Ball | Social Worker | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2015-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114470945 | Swedishamerican Hospital | Pediatrics | 461 N Mulford Rd Ste 4, Rockford, IL 61107-5165 | 2016-07-28 |
| 1720236680 | Kim Le Alt | Pediatrics | 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 | 2008-09-04 |
| 1942310131 | William D. Hutt | Pediatrics | 5970 Churchview Dr, Rockford, IL 61107-2574 | 2006-08-30 |
| 1740290600 | Antonio R Baluga | Pediatrics | 6905 E State Street, Rockford, IL 61108 | 2006-08-09 |
| 1912911785 | Ignacio U Omengan | Pediatrics | 461 N Mulford Rd #10, Rockford, IL 61107 | 2006-07-28 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1962451732 | Swedishamerican Hospital | Pediatrics | 2550 Charles St, Rockford, IL 61108 | 2006-05-09 |
| 1518947258 | Beezer Moolji | Pediatrics | 2400 N. Rockton Ave, Rockford Health Physicians, Rockford, IL 61103-3619 | 2006-01-19 |
| 1003899196 | Thomas Danko | Pediatrics | 1401 E State St, Rockford, IL 61104-2315 | 2005-11-22 |
| 1508306093 | Rockford Pediatrics, PC | Pediatrics | 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 | 2017-03-02 |
| Find all providers in ROCKFORD | ||||
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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.