KERRY HENDERSON (NPI# 1407953839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407953839 |
| Entity Type | Individual |
| Full Name | KERRY HENDERSON |
| Credential | MD |
| Practice Address |
6500 W Newberry Rd Gainesville FL 32605-4309 |
| Mailing Address |
Po Box 409036 Atlanta GA 30384-9036 |
| Practice Telephone | 3523334900 |
| Practice Fax Number | 9043460113 |
| Mailing Telephone | 3523690948 |
| Mailing Fax Number | 9043460113 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME0045810 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 043364100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376747360 | Kerry James Henderson | Counselor | 1295 State Street, El Centro, CA 92243 | 2007-06-13 |
| Street Address |
6500 W NEWBERRY RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073507000 | Yvette Bazikian | Internal Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2005-09-06 |
| 1851901110 | Bennies Medical Services LLC | Internal Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-08-03 |
| 1710515283 | Arilda Margjoni | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-31 |
| 1447888037 | Samuel Josef Leetmaa | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1578191185 | Sandra Pyda | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1699303297 | Allyson Heatwole Montalvo | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1326676941 | Benjamin Sinyor | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1164050787 | Nzinga Tafari | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1801424411 | Laura Sanchez | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1831725118 | Mohammad Farsakh Md Pa | Internal Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| 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 |
|---|---|---|---|---|
| 1669990883 | Syah, LLC | Internal Medicine | 1080 Dawsonville Hwy Ste B, Gainesville, GA 30501-2621 | 2017-09-08 |
| 1851826374 | Atlantis Dawn Russ | Internal Medicine | 1600 Sw Archer Rd Rm M401, Gainesville, FL 32610-0001 | 2017-04-21 |
| 1922545433 | Semiramis Carbajal Mamani | Internal Medicine | 9344 Sw 32nd Pl, Gainesville, FL 32608-8630 | 2017-01-22 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1649631649 | V Care Internal Medicine Pa | Internal Medicine | 8901 Sw 67th Pl, Gainesville, FL 32608-9223 | 2016-03-18 |
| 1790164408 | Cecil Angad Ramkissoon Rambarat | Internal Medicine | Internal Medicine Residency Dept of Medicine, 1600 Sw Archer Road, Shands Hospital, Room 4102, Gainesville, FL 32610-0001 | 2015-05-27 |
| 1235525643 | Katie Veron Taylor | Internal Medicine | 1600 Sw Archer Rd Rm D2-39, Gainesville, FL 32610-3003 | 2015-04-13 |
| 1639584964 | Jaymin G Patel | Internal Medicine | 1600 Sw Archer Rd # 100238, Gainesville, FL 32610-0238 | 2014-06-25 |
| 1629497243 | Leigh Cagino | Internal Medicine | Po Box 100277, Gainesville, FL 32610-3003 | 2014-04-10 |
| 1487083721 | Lalitkumar Jaykrishan Mundhra | Internal Medicine | 3800 Sw 34th St, Apt Y244, Gainesville, FL 32608-6562 | 2013-11-07 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
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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.