ANITA LOUISE HENDERSON (NPI# 1699804542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699804542 |
| Entity Type | Individual |
| Full Name | ANITA LOUISE HENDERSON |
| Credential | MD |
| Practice Address |
11055 Little Patuxent Parkway Suite #203 Columbia MD 21044 |
| Practice Telephone | 4109976991 |
| Practice Fax Number | 4109971406 |
| Mailing Telephone | 4109976991 |
| Mailing Fax Number | 4109971406 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D29175 | MD | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
D29175 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 030771800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740761949 | Anita Camille Henderson | Specialist | 718 Valencia Dr, Clarksville, TN 37043-2058 | 2018-08-24 |
| 1588648208 | Anita Ruth Henderson | Family Medicine | 236 Nw Kingwood Ave, Suite B, Redmond, OR 97756-1324 | 2005-12-06 |
| 1053789453 | Anita Yuan-yi Henderson | Pharmacist | Perry Point Va Medical Center, 119, Perry Point, MD 21092 | 2015-09-02 |
| 1801210588 | Anita Henderson | Registered Nurse | 406 N Spring St, Mcminnville, TN 37110-2134 | 2014-02-14 |
| 1720339302 | Anita E Henderson | Social Worker | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-09-24 |
| 1891056545 | Anita L Henderson | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2012-05-30 |
| 1750494472 | Anita S Henderson | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401 | 2006-08-16 |
| 1144292129 | Anita Henderson | Pediatrics | 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 | 2006-02-03 |
| 1235117862 | Anita Henderson | Family Medicine | 950 State Farm Rd, Boone, NC 28607-5021 | 2006-01-04 |
| Street Address |
11055 LITTLE PATUXENT PARKWAY SUITE #203 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801803101 | David D Kim | Internal Medicine | 11055 Little Patuxent Parkway, Suite 205, Columbia, MD 21044 | 2006-08-01 |
| 1851714703 | Shamyla Tareen | Social Worker | 11055 Little Patuxent Parkway, Columbia, MD 21044 | 2014-01-29 |
| 1740455039 | Maryland Center for Neuro-ophthalmology & Neuro-otology, P.C. | Psychiatry & Neurology | 11055 Little Patuxent Parkway, Suite L2, Columbia, MD 21044-2896 | 2008-04-28 |
| 1790977049 | Neurology Physicians LLC | Psychiatry & Neurology | 11055 Little Patuxent Parkway, Suite 209, Columbia, MD 21044 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537057 | Cayce Medical Spa, Inc | Dermatology | 2001 Corona Rd Ste 201, Columbia, MO 65203-5924 | 2018-11-14 |
| 1366946832 | Novahealth Medical Group, LLC | Dermatology | 3208 Lemone Industrial Blvd Ste A, Columbia, MO 65201-8244 | 2018-03-20 |
| 1508248576 | Kaitlin Ann Schiavo | Dermatology | 204 N Keene St Ste 100, Columbia, MO 65201-8136 | 2015-06-25 |
| 1588041289 | Megan Casady | Dermatology | 10710 Charter Dr Ste 420, Columbia, MD 21044-3276 | 2015-05-01 |
| 1104239037 | Ashley Miles Jenkins | Dermatology | 1000 W Nifong Blvd Ste 150, Columbia, MO 65203-5615 | 2014-06-09 |
| 1497000723 | Leslie Brooke Mills | Dermatology | 2011 Corona Rd Ste 207, Columbia, MO 65203-2548 | 2012-07-24 |
| 1225397458 | Wynn Kao Dermatology, LLC | Dermatology | 10705 Charter Dr Ste 330, Columbia, MD 21044-2885 | 2012-05-08 |
| 1073811253 | Edward Shmunes | Dermatology | 3701 Northshore Rd, Columbia, SC 29206-3365 | 2011-03-11 |
| 1316178346 | M.r. Taylor Rayburn, Jr. M.d. P.C. | Dermatology | 1411 Hatcher Ln, Columbia, TN 38401-3535 | 2009-08-08 |
| 1518193630 | Chesahna Kindred | Dermatology | 8900 Columbia 100 Pkwy Ste F, Columbia, MD 21045-2336 | 2009-06-03 |
| Find all providers in COLUMBIA | ||||
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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.