MATTHEW GREGORY HENDERSON (NPI# 1336623172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336623172 |
| Entity Type | Individual |
| Full Name | MATTHEW GREGORY HENDERSON |
| Credential | PA-C |
| Practice Address |
Psc 311 Us Army Apo AP 96258 |
| Mailing Address |
Psc 311 Box 293 Us Army Apo AP 96258 |
| Practice Telephone | 1033735634 |
| Mailing Telephone | 1033735634 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1153385 | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831543065 | Matthew Jamal Henderson | Counselor | 6375 S Williamson Blvd, Apt #733, Port Orange, FL 32128-4010 | 2016-04-13 |
| 1790310399 | Matthew Henderson | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-04 |
| 1013568740 | Matthew Henderson | Nurse Practitioner | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2019-09-24 |
| 1184150666 | Matthew Scott Henderson | Social Worker | 3155 Mill St Ne, Covington, GA 30014-2542 | 2017-05-03 |
| 1134596901 | Matthew Henderson | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2015-08-28 |
| 1689093379 | Matthew Brandon Henderson | Pediatrics | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2014-04-10 |
| 1639438484 | Matthew Henderson | Anesthesiology | 101 W 8th Ave, Spokane, WA 99204-2307 | 2012-05-15 |
| 1629351895 | Matthew David Henderson | Pharmacist | 6435 Aliante Pkwy, North Las Vegas, NV 89084-3196 | 2011-09-23 |
| 1427273879 | Matthew Henderson | Physical Therapist | 4450 Hugh Howell Rd Ste 9, Tucker, GA 30084-4917 | 2007-04-13 |
| 1235280744 | Matthew Morgan Henderson | Social Worker | 1100 Wilford Hall Loop, San Antonio, TX 78236-5638 | 2007-01-13 |
| Street Address |
PSC 311 US ARMY |
| City | APO |
| State | AP |
| Zip Code | 96258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295931384 | 121st Csh/baach | Clinic/Center | Unit 15653, Bldg S306, Apo, AP 96258 | 2007-06-25 |
| 1437364502 | 121st Csh/baach | Clinic/Center | Unit 15303, Apo, AP 96258 | 2007-05-11 |
| 1518036722 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 306, Apo, AP 96258-0189 | 2006-11-06 |
| 1629345608 | Kyoung S Boltuc | Registered Nurse | 629th Medical Company, Unit # 15342, Apo, AP 96258-5342 | 2011-11-19 |
| 1376532861 | Force Health Protection 18th Medbn | Military Hospital | A Co 168th Med Bn(as), Unit# 15342, Apo, AP 96258-5342 | 2005-10-18 |
| 1265709240 | Usameddac-k,fhp,ohs | Military Hospital | 629th Medical Company, Unit # 15342, Apo, AP 96258-5342 | 2011-11-19 |
| 1265684161 | Yong Soo Kim | Dentist | 618th Dental Company Unit#15653, Camp Red Cloud, Apo, AP 96258-5653 | 2008-10-22 |
| 1285618801 | Barry Garland Bishop | Dentist | 618th Dent Co (as), Unit # 15653, Crc, Apo, AP 96258-5653 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
| 1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
| 1255931689 | Stephanie Ann Lyons | Social Worker | Psc 80 Box 608, Apo, AP 96367-9998 | 2020-10-26 |
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1740889559 | Caitlyn Paige Parnell | Registered Nurse | Patch Barracks Illinoisstrasse 70569, Bld 2300, Apo, AE 09046 | 2020-10-22 |
| 1336747799 | John Daniel Generous | Physician Assistant | Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 | 2020-10-16 |
| 1093312928 | Richard Keith Smith | Physical Therapist | Landstuhl Regional Medical Centr, Apo, AE 09067 | 2020-10-05 |
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| Find all providers in APO | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752819 | Heather Meier | Physician Assistant | Meddac K/tmc, Unit 15609, Apo, AP 96224 | 2020-02-20 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1346677697 | Rita-lynn Anderson Dumlao | Physician Assistant | Psc 704 Box 2802, Apo, AP 96338-0009 | 2013-10-01 |
| 1841634474 | Christopher Scott Schloff | Physician Assistant | Usa Meddac Korea, Unit #15244, Apo, AP 96205-5244 | 2013-04-25 |
| 1073876165 | Erika Walker | Physician Assistant | Wood Medical Clinic, Camp Walker, Apo, AP 96218 | 2012-06-22 |
| 1700160827 | Alexander Kryvenia | Physician Assistant | Unit 3275, Apo, AE 09094-3275 | 2011-10-07 |
| 1427200302 | Heather Sevan Atamian | Physician Assistant | Bldg 201 Ledward Barracks, Unit 26610, Apo, AE 09244 | 2008-10-22 |
| 1336390301 | Colt Jefferson Crutchfield | Physician Assistant | Hhc 2-28 Inf Bn, Apo, AE 09114-0000 | 2008-10-08 |
| 1659527166 | Curtis Russell Driver | Physician Assistant | Hovey Ctas, Bldg 4025, Apo, AP 96224 | 2008-08-15 |
| 1962658591 | Effeby Alioune Fall | Physician Assistant | Cmr 442 Box 784, Apo, AE 09042-0784 | 2008-08-14 |
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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.