DR. SEAN JAY HENDERSON


Address: 1055 N 300 W Ste 316, Provo, UT 84604-3373
Phone: 8013577530

DR. SEAN JAY HENDERSON (NPI# 1366753709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366753709
Entity Type Individual
Full Name DR. SEAN JAY HENDERSON
Credential D.O., F.A.C.O.S.
Practice Address 1055 N 300 W Ste 316
Provo
UT 84604-3373
Practice Telephone 8013577530
Mailing Telephone 8013577530
Enumeration Date 2010-06-30
Last Update Date 2019-07-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 9683273-1204 UT Allopathic & Osteopathic Physicians
N 208800000X Urology 34.011766 OH Allopathic & Osteopathic Physicians

Other Providers SEAN HENDERSON

NPI Name Taxonomy Address Enumeration
1205887064 Sean O. Henderson Emergency Medicine 1200 N State St, Room 1011, Los Angeles, CA 90033-1029 2006-05-15

Office Location

Street Address 1055 N 300 W STE 316
City PROVO
State UT
Zip Code 84604-3373

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174559728 Stewart T Landau Urology 1055 N 300 W Ste 316, Provo, UT 84604-3373 2006-06-24
1043240989 Ronald I Oldroyd Urology 1055 N 300 W Ste 316, Provo, UT 84604-3373 2006-07-04
1760412605 Craig A Ensign Physician Assistant 1055 N 300 W Ste 316, Provo, UT 84604-3373 2006-07-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
1407359078 Ihc Health Services Inc Clinic/Center 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 2018-03-09
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104182476 Jeffrey David Sparenborg Urology 1157 N 300 W Ste 301, Provo, UT 84604-6124 2012-04-11
1447589288 Joseph Robert Armstrong Urology 3291 Piute Dr, Provo, UT 84604-4849 2009-12-07
1295922698 David Kent Harmon Urology 1760 Oak Ln, Provo, UT 84604-2127 2007-09-28
1174559728 Stewart T Landau Urology 1055 N 300 W Ste 316, Provo, UT 84604-3373 2006-06-24
1922529601 Ihc Health Services Inc Urology 1157 N 300 W Ste 301, Provo, UT 84604-6124 2017-07-03
1336230085 Mckay Platt Urology 1055 N 500 W, Suite 211, Provo, UT 84604-3305 2006-09-27
1043240989 Ronald I Oldroyd Urology 1055 N 300 W Ste 316, Provo, UT 84604-3373 2006-07-04
1013985522 Daniel Vernon Cahoon Urology 1055 N 300 W, Ste 316, Provo, UT 84604-3344 2006-03-09
1083697957 Jim D Crowley Urology 1055 N 500 W, Suite 211, Provo, UT 84604-3305 2005-11-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154945061 Utah Urology Works LLC Urology 4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 2020-06-05
1619402286 Andrew Mazzone Urology University of Utah Som Division of Urology, 30 North 1900 East, Salt Lake City, UT 84132-0001 2017-04-20
1588195135 Laurel S. Mast Urology 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132-0002 2017-03-24
1164845517 Bruce Wayne Carlin Urology 375 Old Farm Ln, Coalville, UT 84017-6706 2014-01-21
1588933527 Hal H Bourne Urology 3250 Millcreek Dell Ln, Salt Lake City, UT 84109-3184 2011-12-20
1740598887 Ihc Health Services Inc Urology 4403 Harrison Blvd Ste 4440, Ogden, UT 84403-3291 2010-09-23
1083922926 Perry T. Walters, M.d. PC Urology 425 Medical Drive #112, Bountiful, UT 84010 2010-09-14
1851627756 Ned Legrande Mangelson Urology 2691 Roxbury Cir, Salt Lake City, UT 84108-2841 2009-10-27
1558593046 Thomas S Brinton Urology 1380 E Medical Center Dr Ste 2100, St George, UT 84790 2009-08-17
1801067954 Sara Marie Lenherr Urology 30 N 1900 E Rm 3b420, Salt Lake City, UT 84132-0002 2008-03-17
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Competitor

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City PROVO
Zip Code 84604

Improve Information

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Dataset Information

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.

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