MR. HENDERSON WILBORN II (NPI# 1730519711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730519711 |
| Entity Type | Individual |
| Full Name | MR. HENDERSON WILBORN II |
| Practice Address |
4466 Elvis Presley Blvd Suite 115 Memphis TN 38116 |
| Mailing Address |
Po Box 3479 Memphis TN 38173 |
| Practice Telephone | 9078083279 |
| Practice Fax Number | 9016711121 |
| Mailing Telephone | (901) 808-3279 |
| Mailing Fax Number | 9016711121 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2017-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247000000X | Technician, Health Information | 44D2067576 | TN | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 264040069 | 05 |
| Street Address |
4466 ELVIS PRESLEY BLVD SUITE 115 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144211947 | Derrick D. Payne | Dentist | 4466 Elvis Presley Blvd, 241, Memphis, TN 38116-7180 | 2005-10-31 |
| 1235522418 | Krystel Hope & Care | Clinic/Center | 4466 Elvis Presley Blvd, Suite #118, Memphis, TN 38116-7180 | 2015-03-11 |
| 1508288663 | Independent Ally Home Health Agency | Home Health | 4466 Elvis Presley Blvd, 117, Memphis, TN 38116-7180 | 2014-01-09 |
| 1669803763 | Sheila Wilson | Community Health Worker | 4466 Elvis Presley Blvd, Memphis, TN 38116-7180 | 2013-11-29 |
| 1134559073 | The Sapphire Group Inc | Clinical Medical Laboratory | 4466 Elvis Presley Blvd, Suite 115, Memphis, TN 38116-7180 | 2013-11-13 |
| 1215272984 | Mercy Home Health Care LLC | Home Health | 4466 Elvis Presley Blvd, Suite 245, Memphis, TN 38116-7130 | 2012-12-06 |
| 1467797209 | Mercy Home Health Care LLC | Clinic/Center | 4466 Elvis Presley Blvd, Suite 245, Memphis, TN 38116-7180 | 2012-12-05 |
| 1275867277 | Mountain Chiropractic, PC | Chiropractor | 4466 Elvis Presley Blvd, Suite 200, Memphis, TN 38116-7180 | 2009-09-23 |
| 1881837219 | Adam R Coates | Chiropractor | 4466 Elvis Presley Blvd, Suite 200, Memphis, TN 38116-7180 | 2009-04-15 |
| 1487822862 | Bobbie N Harris | Social Worker | 4466 Elvis Presley Blvd, Ste.260, Memphis, TN 38116-7180 | 2008-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 247000000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Health Information |
| Preferred term for an Accredited Record Technician who is an individual with an associate’s degree from an accredited college or independent study program who is skilled in analyzing health information and in examination of medical records for accuracy, reporting of patient data for reimbursement, and creation of disease registries for researchers. |
| Notes: Source: American Health Information Management Association, Chicago, IL, 1996. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782479 | Hannah Ruth Nelson | Technician, Health Information | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-05-27 |
| 1205461357 | Katya Macias Curiel | Technician, Health Information | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-03-10 |
| 1871128108 | Jena Angel Cedillo | Technician, Health Information | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-03-06 |
| 1811522477 | Eden Flanders | Technician, Health Information | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-03-04 |
| 1417488214 | Ryan Bean | Technician, Health Information | 3644 Peavine Rd, Crossville, TN 38571-7923 | 2017-03-23 |
| 1699131524 | Ellen Marie Fike | Technician, Health Information | 425 Cumberland St, Suite 110, Chattanooga, TN 37404-1909 | 2016-01-07 |
| 1427382050 | Carlos Lucio Galli | Technician, Health Information | 151 Market Place Blvd, Knoxville, TN 37922-2347 | 2009-09-29 |
Please comment or provide details below to improve the information on MR. HENDERSON WILBORN II.
| 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.