PAUL MANNING HENDERSON (NPI# 1225079254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225079254 |
| Entity Type | Individual |
| Full Name | PAUL MANNING HENDERSON |
| Credential | M.D. |
| Practice Address |
3320 Executive Dr Suite 214 Raleigh NC 27609-7445 |
| Practice Telephone | 9198788596 |
| Practice Fax Number | 9198780744 |
| Mailing Telephone | 9198788596 |
| Mailing Fax Number | 9198780744 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9900871 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619287331 | Paul D. Henderson | Speech-Language Pathologist | 2501 Nw 80th St, Lawton, OK 73505-1158 | 2010-10-15 |
| 1730723735 | Paul Henderson | Social Worker | 1216 Arch St Fl 6, Philadelphia, PA 19107-2835 | 2019-11-01 |
| 1902071632 | Paul Walter Henderson | Respiratory Therapist, Registered | 100 Hospital St, Booneville, MS 38829-3354 | 2008-04-23 |
| 1376566570 | Paul Glenn Henderson | Physical Therapist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2006-07-26 |
| Street Address |
3320 EXECUTIVE DR SUITE 214 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438816 | Lori Walker Couch | Optometrist | 3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 | 2005-06-27 |
| 1699149906 | Mallory Lake | Physician Assistant | 3320 Executive Dr, Suite 214, Raleigh, NC 27609-7445 | 2015-11-24 |
| 1689912792 | Metro Internal Medicine P.a. | Clinic/Center | 3320 Executive Dr, Ste. 222, Raleigh, NC 27609-7445 | 2013-01-24 |
| 1922390913 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2011-05-09 |
| 1396047536 | Tanya Ann Mariie Meikle | Physical Therapist | 3320 Executive Dr, Suite 210, Raleigh, NC 27609-7445 | 2010-11-19 |
| 1609005461 | Anita Prakash Vin-parikh | Ophthalmology | 3320 Executive Dr, Raleigh, NC 27609-7445 | 2009-07-14 |
| 1891929618 | James Anthony Wrzosek | Internal Medicine | 3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 | 2009-05-07 |
| 1093831570 | Pamela J. Whitney, M.d, P.a. | Specialist | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2007-03-22 |
| 1881724334 | Assad Meymandi | Specialist | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2007-03-06 |
| 1336276427 | Alice Angela Lin | Ophthalmology | 3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938894 | American Ecare Telehealth Pllc | Family Medicine | 5312 Pomfret Pt, Raleigh, NC 27612-3683 | 2020-06-27 |
| 1093339368 | Nc Telehealth, Pllc | Family Medicine | 1030 N Rogers Ln Ste 121, Raleigh, NC 27610-6083 | 2020-06-02 |
| 1427680917 | Peter Mcilwaine | Family Medicine | 2605 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6475 | 2020-02-12 |
| 1104483387 | Rebecca Jeffries Cloer | Family Medicine | 8331 Bandford Way Ste 101, Raleigh, NC 27615-2765 | 2019-05-23 |
| 1154888154 | Wwc Medical Pllc | Family Medicine | 7800 Falls of Neuse Rd, #99511, Raleigh, NC 27615-9998 | 2019-02-26 |
| 1932683166 | Good Health Urgent & Primary Care Pllc | Family Medicine | 3716 National Dr Ste 208, Raleigh, NC 27612-4863 | 2018-09-24 |
| 1124501085 | Select Medical Services Pllc | Family Medicine | 10931 Raven Ridge Rd Ste 115, Raleigh, NC 27614-6499 | 2018-09-07 |
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1740768225 | Iam Healthcare, Pllc | Family Medicine | 5509 Cumberland Plain Dr, Raleigh, NC 27616 | 2018-08-06 |
| 1265963938 | David James Mcmullen | Family Medicine | 3320 Executive Dr Ste 214, Raleigh, NC 27609-7489 | 2017-03-24 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on PAUL MANNING HENDERSON.
| 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.