KIMBERLY JILL HENDERSON (NPI# 1790070787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790070787 |
| Entity Type | Individual |
| Full Name | KIMBERLY JILL HENDERSON |
| Credential | D.O. |
| Practice Address |
334 Plaza Rd Kingston NY 12401-2975 |
| Mailing Address |
1351 Route 55 Suite 200 Lagrangeville NY 12540-5108 |
| Practice Telephone | 8453385575 |
| Mailing Telephone | 8454759661 |
| Mailing Fax Number | 8454759938 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2017-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 278817 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04091058 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114478773 | Kimberly Elaine Henderson | Community Health Worker | 1940 Sherman Ave Lot 103, Panama City, FL 32405-6263 | 2016-10-19 |
| 1578967196 | Kimberly Henderson | Licensed Practical Nurse | 7958 State Route 21, Naples, NY 14512-9207 | 2014-10-09 |
| 1740513571 | Kimberly Henderson | Hearing Instrument Specialist | 4106 W 6th St, Suite E, Lawrence, KS 66049-4624 | 2009-09-11 |
| 1619085222 | Kimberly J Henderson | Counselor | 222 Kenyon St Nw, Suite 10, Olympia, WA 98502-4553 | 2006-08-25 |
| 1114991361 | Kimberly E Henderson | Nurse Practitioner | 401 16th St Se, Rochester, MN 55904-7973 | 2006-02-15 |
| 1457902934 | Kimberly Henderson | Case Manager/Care Coordinator | 12097 Old Hammond Hwy Ste I2, Baton Rouge, LA 70816-8679 | 2019-09-25 |
| 1972931368 | Kimberly Henderson | Pharmacist | 1431 W Innes St, Salisbury, NC 28144-2501 | 2013-10-22 |
| 1558608117 | Kimberly Y Henderson | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Ste 250, Wichita, KS 67206-2368 | 2013-01-15 |
| 1609016831 | Kimberly S Henderson | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2009-02-27 |
| 1538340641 | Kimberly Henderson | Counselor | 2525 Court Dr, Gastonia, NC 28054-2140 | 2007-11-16 |
| Street Address |
334 PLAZA RD |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-2975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659392215 | Eric B Stamberg | Emergency Medicine | 334 Plaza Rd, Kingston, NY 12401-2975 | 2006-07-21 |
| 1912508714 | Health Quest Medical Practice, Px | Podiatrist | 334 Plaza Rd, Kingston, NY 12401-2975 | 2020-11-06 |
| 1003437898 | Brian Joseph Carlozzi | Family Medicine | 334 Plaza Rd, Kingston, NY 12401-2975 | 2020-05-03 |
| 1003387283 | Health Quest Medical Practice, PC | Internal Medicine | 334 Plaza Rd, Kingston, NY 12401-2975 | 2018-12-16 |
| 1912475880 | Health Quest Medical Practice, PC | Surgery | 334 Plaza Rd, Kingston, NY 12401-2975 | 2018-11-08 |
| 1861994162 | Health Quest Medical Practice, PC | Surgery | 334 Plaza Rd, Kingston, NY 12401-2975 | 2018-03-02 |
| 1194235333 | Health Quest Medical Practice, PC | Internal Medicine | 334 Plaza Rd, Kingston, NY 12401-2975 | 2017-10-02 |
| 1396100087 | Health Quest Medical Practice, PC | Family Medicine | 334 Plaza Rd, Kingston, NY 12401-2975 | 2015-12-22 |
| 1760847453 | Health Quest Medical Practice, PC | Obstetrics & Gynecology | 334 Plaza Rd, Kingston, NY 12401-2975 | 2015-12-22 |
| 1124483813 | Health Quest Medical Practice, PC | Internal Medicine | 334 Plaza Rd, Kingston, NY 12401-2975 | 2015-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1558785139 | James Fox | Obstetrics & Gynecology | 13356 Marietta Rd, Kingston, OH 45644-9564 | 2014-02-18 |
| 1508001371 | Bergknoff & Forster Ptrs | Obstetrics & Gynecology | 4575 Rte. 27, Kingston, NJ 08528 | 2008-12-09 |
| 1154570034 | Paul Dalton Griesmer | Obstetrics & Gynecology | 317 N Maple Ave Apt P, Kingston, PA 18704-3365 | 2008-09-16 |
| 1346300753 | Hugh Bergknoff | Obstetrics & Gynecology | 4575 Rte 27, Kingston, NJ 08528 | 2006-12-08 |
| 1700960333 | Dominique Delma | Obstetrics & Gynecology | 1 Foxhall Ave, Kingston, NY 12401-5107 | 2006-10-24 |
| 1326122953 | Dominique Delma Md PC | Obstetrics & Gynecology | 117 Marys Avenue, Suite 202, Kingston, NY 12401 | 2006-10-24 |
| 1922034412 | George C. Tsoutsoplides | Obstetrics & Gynecology | 534 Wyoming Avenue, Kingston, PA 18704 | 2006-06-25 |
| 1568425866 | Mark S Polin | Obstetrics & Gynecology | 445 Wyoming Ave, Kingston, PA 18704-3601 | 2006-04-08 |
| 1538136221 | Bonita M Mancia | Obstetrics & Gynecology | 440 Pierce St, Kingston, PA 18704-5500 | 2006-03-02 |
| 1851630107 | Health Quest Medical Practice | Obstetrics & Gynecology | 166 Albany Ave, Kingston, NY 12401-2530 | 2013-02-06 |
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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.