KEVIN WAYNE HENDERSON (NPI# 1306001102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306001102 |
| Entity Type | Individual |
| Full Name | KEVIN WAYNE HENDERSON |
| Credential | D.O. |
| Practice Address |
800 Montclair Rd Birmingham AL 35213-1908 |
| Practice Telephone | 2055925235 |
| Practice Fax Number | 2055925254 |
| Mailing Telephone | 2055925235 |
| Mailing Fax Number | 2055925254 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DO1202 | AL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104210566 | Kevin Henderson | Counselor | 6791 Mitchell Dr, Columbus, GA 31907-3735 | 2015-03-24 |
| 1720070477 | Kevin Duane Henderson | Chiropractor | 2040 6th Ave, Tacoma, WA 98403-1045 | 2005-08-18 |
| 1639663800 | Kevin Henderson | Behavior Technician | 732 Beckman St, Dayton, OH 45410-2165 | 2018-06-20 |
| 1710308671 | Kevin Henderson | Counselor | 2802 Broadway, Everett, WA 98201-3642 | 2013-12-19 |
| 1013252451 | Kevin Charles Henderson | Pharmacist | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2012-12-11 |
| 1992061576 | Kevin J Henderson | Counselor | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2012-04-08 |
| 1346298940 | Kevin Henderson | Emergency Medicine | 705 Dixie St, Carrollton, GA 30117-3818 | 2006-05-05 |
| Street Address |
800 MONTCLAIR RD |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35213-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164785 | Bibb Allen Jr. | Radiology | 800 Montclair Rd, Birmingham, AL 35213-1908 | 2005-06-15 |
| 1003297011 | Robert Singley | Nurse Anesthetist, Certified Registered | 800 Montclair Rd, Birmingham, AL 35213-1908 | 2015-06-16 |
| 1043600729 | Joan E Beasley | Nurse Practitioner | 800 Montclair Rd, Suite 101, Birmingham, AL 35213-1908 | 2015-02-02 |
| 1275934804 | Angel Baker | Physical Therapist | 800 Montclair Rd, Birmingham, AL 35213-1908 | 2014-09-15 |
| 1609288950 | Bethany Dierker Morrill | Perfusionist | 800 Montclair Rd, Birmingham, AL 35213-1908 | 2014-05-21 |
| 1548695158 | Courtney Michelle Howell | Nurse Practitioner | 800 Montclair Rd, Suite 101, Birmingham, AL 35213-1908 | 2013-09-13 |
| 1497093868 | Robin Nix | Nurse Practitioner | 800 Montclair Rd, Birmingham, AL 35213-1908 | 2013-01-19 |
| 1548508104 | Crystal Bailey | Nurse Practitioner | 800 Montclair Rd, Birmingham, AL 35213-1908 | 2013-01-16 |
| 1851638746 | Susan Elizabeth Davenport | Nurse Practitioner | 800 Montclair Rd, Birmingham, AL 35213-1908 | 2013-01-11 |
| 1538426432 | April Shell Brown | Nurse Practitioner | 800 Montclair Rd, 4th Floor Nicu, Birmingham, AL 35213-1908 | 2012-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| Find all providers in zip 35213 | ||||
| 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 |
|---|---|---|---|---|
| 1447872999 | Robert C. Cain, M.d., LLC | Internal Medicine | 5381 1st Ave N, Birmingham, AL 35212-2401 | 2020-05-07 |
| 1710432083 | Daniela Urina Jassir | Internal Medicine | 1720 2nd Ave S # Tht321, Birmingham, AL 35294-0004 | 2016-08-16 |
| 1942650023 | Swaroop Vitta | Internal Medicine | 1720 2nd Ave S # Bdb355, Birmingham, AL 35294-0012 | 2016-06-20 |
| 1477900736 | Nathan Terry Douthit | Internal Medicine | 801 Princeton Ave Sw Ste 228, Birmingham, AL 35211-1310 | 2016-05-17 |
| 1104289735 | Joe W. Chiles IIi | Internal Medicine | 1720 2nd Ave S # Tht422, Birmingham, AL 35294-0004 | 2016-03-31 |
| 1346602752 | Joshua Thomas Gautney | Internal Medicine | 1900 University Blvd Tinsley Harrison Tower Tht422, Birmingham, AL 35294-7201 | 2016-03-24 |
| 1366817199 | Stv Cardiology Clinic LLC | Internal Medicine | 46 Medical Park East Drive, Building 46, Suite 460, Birmingham, AL 35235-3401 | 2015-12-04 |
| 1891160875 | Thomas Lee Baumann | Internal Medicine | 3805 Kinross Dr, Birmingham, AL 35242-5803 | 2015-12-02 |
| 1295122281 | Audrey Rebecca Lloyd | Internal Medicine | Tht 229 1720 2nd Ave South, Birmingham, AL 35294-0001 | 2015-04-17 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35213 |
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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.