KELLY D HENCHEL (NPI# 1285714667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285714667 |
| Entity Type | Individual |
| Full Name | KELLY D HENCHEL |
| Other Name | DR. KELLY D HENCHEL |
| Credential | MD |
| Practice Address |
1030 S Jefferson St Suite 106 Roanoke VA 24016-4418 |
| Practice Telephone | 5409858230 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101248475 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 9701394 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891098F | 05 |
| Street Address |
1030 S JEFFERSON ST SUITE 106 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153796 | Carl Hill Bivens Jr. | Internal Medicine | 1030 S Jefferson St, Ste 200, Roanoke, VA 24016-4418 | 2005-09-02 |
| 1962737213 | Erin Jones Myers | Physician Assistant | 1030 S Jefferson St, Suite 200, Roanoke, VA 24016-4418 | 2009-10-05 |
| 1679717433 | Michael Steven Sawvel | Neurological Surgery | 1030 S Jefferson St, Suite 106, Roanoke, VA 24016-4418 | 2009-04-23 |
| 1407016082 | Eric Marvin | Neurological Surgery | 1030 S Jefferson St, Roanoke, VA 24016-4418 | 2008-06-17 |
| 1275613473 | Endocrinology Associates Inc | Internal Medicine | 1030 S Jefferson St, Suite 200, Roanoke, VA 24016 | 2006-10-16 |
| 1104917749 | William S Elias | Internal Medicine | 1030 S Jefferson St, Suite G100, Roanoke, VA 24016 | 2006-09-27 |
| 1326143199 | Kathryn S Jones | Dietitian, Registered | 1030 S Jefferson St, Suite G101, Roanoke, VA 24016-4418 | 2006-09-14 |
| 1548372311 | Tara Ann Mitchell | Psychologist | 1030 S Jefferson St, Suite 201, Roanoke, VA 24016-4418 | 2006-08-31 |
| 1386679389 | Michole M Pineda | Pediatrics | 1030 S Jefferson St, Suite 201, Roanoke, VA 24016-4418 | 2006-07-11 |
| 1548237944 | Katherine M Shaw | Dietitian, Registered | 1030 S Jefferson St, Endocrinology Associates, Suite 200, Roanoke, VA 24016-4418 | 2006-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| 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 |
|---|---|---|---|---|
| 1407302847 | Elia Boles | Pediatrics | Carilion Clinic Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2016-08-26 |
| 1366715070 | Paul Elwood Bowles | Pediatrics | 5508 Village Drive, Roanoke, VA 24018-8773 | 2012-02-13 |
| 1881867646 | Silvia Natalia Jaimes Ocazionez | Pediatrics | 1030 S Jefferson St Ste 106, Roanoke, VA 24016-4418 | 2008-04-11 |
| 1508078635 | Nadia Gaafar Gard | Pediatrics | 4910 Valley View Blvd N W, Suite 310, Roanoke, VA 24012 | 2007-05-03 |
| 1497711345 | Theresa Ann Mutzig-erwin | Pediatrics | 516 E Byron Nelson Blvd, Roanoke, TX 76262-6295 | 2006-04-20 |
| 1922071869 | Arthur Kunkle | Pediatrics | 89 Summers Way, Roanoke, VA 24019-8291 | 2006-02-10 |
| 1942272273 | Mandy Atkinson | Pediatrics | 1906 Belleview Ave, Roanoke, VA 24014 | 2006-02-02 |
| 1548241086 | Maria R Soriano | Pediatrics | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2005-11-10 |
| 1700877404 | Floyd Randell Burton | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013-2218 | 2005-11-02 |
| 1508864638 | Alise Magnuson | Pediatrics | 4615 Huntridge Rd, Roanoke, VA 24012-8510 | 2005-07-12 |
| Find all providers in ROANOKE | ||||
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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.