MARK E HENDERSON (NPI# 1760902498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760902498 |
| Entity Type | Individual |
| Full Name | MARK E HENDERSON |
| Credential | DO |
| Practice Address |
4600 Valley Rd Ste 200 Lincoln NE 68510-4882 |
| Practice Telephone | (402) 483-4571 |
| Practice Fax Number | 4024835633 |
| Mailing Telephone | 4024834571 |
| Mailing Fax Number | 4024835633 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | TEP8073 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 470553011-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255372868 | Mark T Henderson | Emergency Medicine | 3607 Fern Valley Rd Ste 102, Louisville, KY 40219-1916 | 2006-06-08 |
| 1639139876 | Mark Shea Henderson | Surgery | 135 Plaza Dr, Suite 202, Sikeston, MO 63801-5136 | 2006-03-23 |
| 1992792840 | Mark William Henderson | Dentist | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2005-10-05 |
| 1699245084 | Mark Henderson | Occupational Therapist | 28 Ritters Ridge Ct, Owings Mills, MD 21117-3355 | 2018-11-28 |
| 1407138167 | Mark Henderson | Pharmacist | 6958 Goodman Rd, Olive Branch, MS 38654-7034 | 2011-09-19 |
| 1184895856 | Mark C Henderson | Internal Medicine | 4860 Y St Ste 100, Sacramento, CA 95817-2307 | 2008-03-20 |
| 1912178229 | Mark Glen Henderson | Obstetrics & Gynecology | 2575 S Cimarron Rd, 102, Las Vegas, NV 89117-2682 | 2008-03-13 |
| 1841370707 | Mark A Henderson | Radiology | 2400 17th St, Columbus, IN 47201 | 2006-10-16 |
| 1891895272 | Mark Henderson | Internal Medicine | 900 Broadway, Bangor, ME 04401-1900 | 2006-09-25 |
| 1376562082 | Mark Reagan Henderson | Dentist | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2006-07-19 |
| Street Address |
4600 VALLEY RD STE 200 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-4882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558674937 | Miranda Kaye Kliment | Nurse Practitioner | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2010-07-14 |
| 1700403284 | Kenneth J Wasmund II | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2020-06-30 |
| 1154948735 | Benadette N Ngamelue | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2020-06-30 |
| 1972129021 | Elliot B Day | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2020-06-24 |
| 1649895517 | Julia A Richardson | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2020-06-16 |
| 1215552096 | Crina L. Manole Weddle | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2020-06-08 |
| 1114542909 | Victoria Nguyen | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2020-06-08 |
| 1831750785 | Zachery C. Mahler | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2019-06-21 |
| 1467012468 | Richard L. Poppe | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2019-06-20 |
| 1144880204 | Brett S. Copley | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1356812788 | Holy Family Medical Associates, LLC | Family Medicine | 7121 Stephanie Ln Ste 105, Lincoln, NE 68516-5324 | 2018-12-11 |
| 1295217735 | Angela Zavala | Family Medicine | 4130 Pioneer Woods Dr Ste 2, Lincoln, NE 68506-7552 | 2018-08-31 |
| 1477043800 | Kyle Thomas Gibbens | Family Medicine | 4600 Valley Rd Ste 210, Lincoln, NE 68510-4892 | 2018-05-10 |
| 1821513722 | Good Faith Family Medicine, LLC | Family Medicine | 8055 O Street Suite 100, Lincoln, NE 68510 | 2017-08-11 |
| 1023531936 | Doctors of Women, LLC | Family Medicine | 8055 O St Ste 100, Lincoln, NE 68510-2575 | 2017-07-23 |
| 1881049526 | Family Health & Wellness Center, P.C. | Family Medicine | 2900 S 70th St Ste 310, Lincoln, NE 68506-3690 | 2016-05-02 |
| 1114397254 | Primarycare Housecalls PC | Family Medicine | 5601 S 59th St, Lincoln, NE 68516-2306 | 2015-10-01 |
| 1639584436 | Martha Miller | Family Medicine | 1020 Daniel Dr, Lincoln, CA 95648-8539 | 2014-07-01 |
| Find all providers in LINCOLN | ||||
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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.