DR. EUGENE B HENDERSON (NPI# 1679537815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679537815 |
| Entity Type | Individual |
| Full Name | DR. EUGENE B HENDERSON |
| Credential | MD |
| Practice Address |
3801 W 15th St Bldg B, Suite 320 Plano TX 75075-4737 |
| Mailing Address |
16980 Dallas Pkwy Suite 200 Dallas TX 75248-1908 |
| Practice Telephone | 9729858838 |
| Practice Fax Number | 9725961724 |
| Mailing Telephone | 9729858838 |
| Mailing Fax Number | 9725961724 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2016-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G3455 | TX | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
G3455 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8F3201 | 01 |
| TX | 127759207 | 05 |
| Street Address |
3801 W 15TH ST BLDG B, SUITE 320 |
| City | PLANO |
| State | TX |
| Zip Code | 75075-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552610 | Jennifer Lynn Darrow | Pediatrics | 3801 W 15th St, Suite #d-120, Plano, TX 75075-4737 | 2005-07-19 |
| 1154762789 | Rose Imaging Specialists Pa | Radiology | 3801 W 15th St, Suite 150a, Plano, TX 75075-4737 | 2013-07-11 |
| 1174847925 | Tracy C. Woehl Crna, P.C. | Nurse Anesthetist, Certified Registered | 3801 W 15th St, Suite 150, Plano, TX 75075-4737 | 2010-03-23 |
| 1487882189 | Summit Surgery Center | Clinic/Center | 3801 W 15th St, 150, Plano, TX 75075-4737 | 2009-07-01 |
| 1518101971 | Pamela Melissa Wainer | Nurse Practitioner | 3801 W 15th St, Building D, Suite 120, Plano, TX 75075-4737 | 2009-04-28 |
| 1144460643 | Folashade Lester, M.d. Pa | Family Medicine | 3801 W 15th St, 350-b, Plano, TX 75075-4737 | 2009-02-24 |
| 1982866968 | Arjun Nair | Internal Medicine | 3801 W 15th St, Bldg B, Suite 320, Plano, TX 75075-4737 | 2008-06-30 |
| 1407029689 | Timothy Duy Dao | Internal Medicine | 3801 W 15th St, Bldg B, Suite 320, Plano, TX 75075-4737 | 2008-04-08 |
| 1497933725 | Gary W, Duncan Mdpa | Specialist | 3801 W 15th St, Suite #110, Plano, TX 75075-4737 | 2008-02-08 |
| 1083898365 | Gautam Bhimidi Reddy | Internal Medicine | 3801 W 15th St, Bldg B, Suite 320, Plano, TX 75075-4737 | 2007-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1174185524 | Chadi Dib Md Pa | Internal Medicine | 2905 Mountain Laurel Ln, Plano, TX 75093-4073 | 2019-07-06 |
| 1699241372 | Plano Neovascular Interventional Group Pllc | Internal Medicine | 6800 Preston Rd Ste 100, Plano, TX 75024-2505 | 2018-10-19 |
| 1205284452 | Innovative Cardiology Consultants | Internal Medicine | 1360 Star Court, Suite 317, Plano, TX 75074 | 2016-05-28 |
| 1104291897 | Taking Health To Heart, Pllc | Internal Medicine | 2916 Beauchamp Dr, Plano, TX 75093-3429 | 2015-12-06 |
| 1215303763 | Lonestar Heart and Vascular Associates | Internal Medicine | 4516 Overton Dr, Plano, TX 75074-0136 | 2015-08-19 |
| 1053690735 | Crescent Cardiology Associates | Internal Medicine | 8401 Memorial Ln, #7445, Plano, TX 75024-2285 | 2011-08-11 |
| 1295902047 | Dat Nguyen | Internal Medicine | 4701 Old Shepard Pl Ste 106, Plano, TX 75093-5297 | 2008-05-12 |
| 1891802484 | Shoei-kuen Huang | Internal Medicine | 3809 Skyline Dr, Plano, TX 75025-2034 | 2006-08-23 |
| 1720006042 | James S Rellas | Internal Medicine | 6957 W Plano Pkwy Ste 1000, Plano, TX 75093-1621 | 2006-07-17 |
| 1033167903 | Joel A Roffman | Internal Medicine | 4708 Alliance Blvd Ste 500, Plano, TX 75093-5362 | 2006-05-04 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on DR. EUGENE B 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.