DR. JOHN HENDERSON IV (NPI# 1346654407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346654407 |
Entity Type | Individual |
Full Name | DR. JOHN HENDERSON IV |
Credential | M.D. |
Practice Address |
1327 Stadium Dr Macon GA 31207-1302 |
Mailing Address |
790 Lake Frances Dr Apt 5 Charleston SC 29412-4337 |
Practice Telephone | 4783012382 |
Practice Fax Number | 4783012391 |
Mailing Telephone | (678) 447-3683 |
Enumeration Date | 2014-06-17 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 078835 | GA | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | LL36863 | SC | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
96 Jonathan Lucas St Ste 803, Charleston, SC 294258900 | 8437921020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952710212 | John Henderson | Chiropractor | 1624 N Avignon Ln, Clovis, CA 93619-3798 | 2014-08-11 |
1235452186 | John William Henderson | Specialist/Technologist | 7473 Shay Ln, South Weber, UT 84405-9202 | 2010-03-07 |
1699899633 | John Stephen Henderson | Counselor | 663 Cottage St Ne, Salem, OR 97301-2419 | 2007-03-16 |
1245314947 | John Henderson | Internal Medicine | 3400 Laguna St, San Francisco, CA 94123 | 2006-10-25 |
1962591214 | John David Henderson | Dentist | 624 Lauderdale St, Selma, AL 36701-4529 | 2006-10-12 |
1114963402 | John Gibson Henderson Jr. | Psychologist | 473 Graywood Dr, Ballwin, MO 63011-3459 | 2006-06-22 |
1477597979 | John M. Henderson Sr. | Family Medicine | 1900 10th Ave Suite 320, Columbus, GA 31901 | 2006-06-15 |
1386108066 | John Henderson | Counselor | 323 N Broad St, Fairborn, OH 45324-4934 | 2019-01-26 |
1881195162 | John Henderson | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-02-22 |
1669972055 | John Henderson | Physical Therapist | 124 Hawthorne Ln, Greenwood, IN 46142-9430 | 2018-02-13 |
Street Address |
1327 STADIUM DR |
City | MACON |
State | GA |
Zip Code | 31207-1302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912009572 | Carol Dooley Wanna | Obstetrics & Gynecology | 1327 Stadium Dr, Macon, GA 31207-8639 | 2006-09-03 |
1306406152 | Braxton Zeigler | Specialist/Technologist | 1327 Stadium Dr, Macon, GA 31207-1302 | 2019-06-14 |
1336709187 | Alex Joseph Mccrory | Specialist/Technologist | 1327 Stadium Dr, Macon, GA 31207-1302 | 2019-06-14 |
1447474184 | Lynn Taylor Denny | Family Medicine | 1327 Stadium Dr, Macon, GA 31207-5900 | 2007-04-12 |
1568561181 | William F Bina | Family Medicine | 1327 Stadium Dr, Macon, GA 31207-1302 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770004715 | Renee Boudreaux | Podiatrist | 1501 Mercer University Dr, Macon, GA 31207 | 2017-06-29 |
1316296627 | Jonathan Gustav Bulla | Student in an Organized Health Care Education/Training Program | 1550 College Street, Macon, GA 31207 | 2012-08-31 |
1366723751 | Abigail Lewis | Family Medicine | 1550 College St, Macon, GA 31207 | 2011-08-30 |
1265596589 | Elizabeth Jean Hudson-weires | Registered Nurse | 1550 College Street, Macon, GA 31207 | 2006-12-21 |
1316593262 | Nicole Theresia Mette | Student in an Organized Health Care Education/Training Program | 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 | 2019-08-16 |
1558921973 | Anna Nielsen Walker | Pathology | Mercer University School of Medicine Dept of Pathology, Macon, GA 31207-0001 | 2019-06-18 |
1770057788 | Brian Daniel Wright | Student in an Organized Health Care Education/Training Program | 1550 College Steeet, Macon, GA 31207-0001 | 2019-01-14 |
1710481049 | Sarah Nicole Telliard | Student in an Organized Health Care Education/Training Program | Mercer University School of Medicine 1550 College St, Macon, GA 31207-0001 | 2018-03-21 |
1174925416 | William Holcomb | Specialist/Technologist | 1501 Mercer University Drive Mercer University, Macon, GA 31207-0001 | 2014-09-18 |
1760665913 | Daniel John Gibbs | Specialist/Technologist | University Athletics, 1400 Coleman Ave, Macon, GA 31207-0001 | 2007-12-11 |
Find all providers in zip 31207 |
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 |
---|---|---|---|---|
1174011811 | Frances Barnes Grant | Internal Medicine | 1842 Waverland Cir, Macon, GA 31211-1116 | 2018-04-27 |
1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
1598295719 | Lori Starr | Internal Medicine | 446 Poplar St Ste B, Macon, GA 31201-3336 | 2017-06-20 |
1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
1720456163 | Wellness Connect | Internal Medicine | 1209 Marlowe Dr, Macon, GA 31210-3107 | 2015-09-02 |
1396157657 | Almatmed H Mohamed Abdelsalam | Internal Medicine | 657 Hemlock St Ste 220, Macon, GA 31201-8311 | 2014-05-21 |
1114369865 | Douglas Farman Md LLC | Internal Medicine | 310 Hospital Dr Ste 320, Macon, GA 31217-8027 | 2013-07-23 |
1528328796 | Ahmad Azmi Kabbani | Internal Medicine | 640 Martin Luther King Jr Blvd Ste 200, Macon, GA 31201-3297 | 2012-05-22 |
1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
1649414657 | Lillette A Intaphan Md LLC | Internal Medicine | 432 Poplar St, Suite B, Macon, GA 31201-3336 | 2009-04-22 |
Find all providers in MACON |
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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.