MYRA A HENDERSON (NPI# 1427151430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427151430 |
Entity Type | Individual |
Full Name | MYRA A HENDERSON |
Credential | D.O. |
Practice Address |
1115 Woodland Dr Elizabethtown KY 42701-2749 |
Practice Telephone | 2707695963 |
Practice Fax Number | 2707699051 |
Mailing Telephone | 2707695963 |
Mailing Fax Number | 2707699051 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2010-01-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
02554 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64025547 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962740035 | Myra Anita Henderson | Social Worker | 29343 Euclid Ave, Wickliffe, OH 44092-1958 | 2013-01-24 |
Street Address |
1115 WOODLAND DR |
City | ELIZABETHTOWN |
State | KY |
Zip Code | 42701-2749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013992460 | Amy Preen | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2005-12-08 |
1245709849 | Lauren Ford | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2018-11-13 |
1295190312 | Kimberly S. Barnes | Advanced Practice Midwife | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2015-12-16 |
1215229240 | Tracy Johnson | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2011-05-10 |
1114199189 | Jason Edward Goodman | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2008-03-29 |
1629125083 | Chantel Eve Unseld | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-01-05 |
1497858641 | David A Hamilton Sr. | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
1760585988 | Elizabethtown Physicians for Women,psc | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
1831292077 | Lucian Y Moreman II | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
1639272602 | Ruth A Mcconnell | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
Find all providers in zip 42701 |
Taxonomy Code | 207VE0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Reproductive Endocrinology |
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497858641 | David A Hamilton Sr. | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
1831292077 | Lucian Y Moreman II | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
1174626352 | George W Bauer IIi | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346340676 | Walter Alfred Divers | Obstetrics & Gynecology | 4109 John Alden Ln, Lexington, KY 40504-2043 | 2006-09-25 |
1497761894 | Kentucky Fertility and Andrology, Pllc | Obstetrics & Gynecology | 141 N Eagle Creek Dr, Suite 203, Lexington, KY 40509-1832 | 2006-07-31 |
1558746602 | Kentucky Fertility Associates, Pllc | Obstetrics & Gynecology | 4612 Chamberlain Ln, Louisville, KY 40241-1071 | 2015-07-29 |
1144643081 | University of Louisville Research Foundation | Obstetrics & Gynecology | 550 S Jackson St, Louisville, KY 40202-1622 | 2014-01-29 |
1568885804 | University of Louisville Research Foundation | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2014-01-22 |
1730454851 | University of Louisville Physicians, Inc. | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2012-03-22 |
1275780173 | Woman To Woman Healthcare, LLC. | Obstetrics & Gynecology | 1055 Wellington Way, Suite 125, Lexington, KY 40513-1259 | 2008-08-21 |
1770628927 | Robert J. Homm, Md, Psc | Obstetrics & Gynecology | 4121 Dutchmans Ln, Suite 414, Louisville, KY 40207-4707 | 2007-02-21 |
1417979683 | Christine Louise Cook | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2006-07-24 |
1518983287 | Steven T. Nakajima | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2006-07-14 |
Find all providers with the same taxonomy |
City | ELIZABETHTOWN |
Zip Code | 42701 |
Please comment or provide details below to improve the information on MYRA A HENDERSON.
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.