DR. HERBERT P HENDERSON JR. (NPI# 1790786606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790786606 |
| Entity Type | Individual |
| Full Name | DR. HERBERT P HENDERSON JR. |
| Credential | M.D. |
| Practice Address |
2973 Manchester Rd Manchester MD 21102-1802 |
| Practice Telephone | 4103744747 |
| Practice Fax Number | 4435070003 |
| Mailing Telephone | 4103744747 |
| Mailing Fax Number | 4435070003 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 207Q00000X | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144882507 | Herbert Henderson | Counselor | 623 Park Meadow Rd Ste H, Westerville, OH 43081-2876 | 2019-07-05 |
| 1508968330 | Herbert H Henderson | Anesthesiology | 2000 Sutter Pl, #f, Davis, CA 95616-6201 | 2006-09-02 |
| Street Address |
2973 MANCHESTER RD |
| City | MANCHESTER |
| State | MD |
| Zip Code | 21102-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099730 | Teresa Hanyok | Family Medicine | 2973 Manchester Rd, Manchester, MD 21102-1802 | 2005-08-02 |
| 1710590823 | Taylor Shoffner | Physician Assistant | 2973 Manchester Rd, Manchester, MD 21102-1802 | 2020-08-28 |
| 1538660998 | Kimberly Lois Davis | Nurse Practitioner | 2973 Manchester Rd, Manchester, MD 21102-1802 | 2018-02-21 |
| 1598956922 | Manchester Family Medicine, LLC | Family Medicine | 2973 Manchester Rd, Manchester, MD 21102-1802 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669516183 | Victor R Aybar | Podiatrist | 2963 Manchester Rd Ste D, Manchester, MD 21102 | 2007-02-17 |
| 1114924115 | Long View Nursing Home, Inc. | Skilled Nursing Facility | 3332 Main St, Pob 390, Manchester, MD 21102-0390 | 2005-07-05 |
| 1194364588 | Cynthia Ekwutife | Registered Nurse | 2504 Highcrest Ct, Manchester, MD 21102-1413 | 2020-01-02 |
| 1093058596 | Angella Vassell | Counselor | 3206 Mccurley Dr, Manchester, MD 21102-1449 | 2013-04-03 |
| 1033368337 | Michael Gale Eyer | Family Medicine | 4175 Hanover Pike, Manchester, MD 21102-1454 | 2008-09-11 |
| 1073017224 | Stephanie Lynn Vagnier | Nurse Practitioner | 4175 Hanover Pike, Manchester, MD 21102-1454 | 2018-03-22 |
| 1306252341 | Carroll Health Group, LLC | Family Medicine | 4175 Hanover Pike, Suite A, Manchester, MD 21102-1454 | 2014-07-10 |
| 1790261428 | Kayla Dolch | Behavioral Analyst | 3907 Calvins Twilight Way, Manchester, MD 21102-1512 | 2018-07-16 |
| 1801204797 | Heather Schwendeman-kincaid | Behavioral Analyst | 2901 Holland Dr, Manchester, MD 21102-1737 | 2014-07-24 |
| 1285800110 | Jacqueline G. Hancock, Crna, Pa | Nurse Anesthetist, Certified Registered | 3245 Farm Ln, Manchester, MD 21102-1780 | 2008-04-30 |
| Find all providers in zip 21102 | ||||
| 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 |
|---|---|---|---|---|
| 1861002701 | Kathleen P Fantozzi | Family Medicine | 1590 Union St, Manchester, NH 03104-1768 | 2020-08-05 |
| 1669098570 | Manchester Family Healthcare | Family Medicine | 804 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-06-17 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| 1790204311 | Ballwin Family Medicine LLC | Family Medicine | 653 Big Bend Rd, Manchester, MO 63021-7723 | 2017-09-14 |
| 1659801892 | Pinnacle Health Regional Physicians | Family Medicine | 4314 N George St Ext'd, Manchester, PA 17345-1307 | 2017-06-19 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1689019242 | R. L. Williams Family Medicine, Pllc | Family Medicine | 1000 Mcarthur St, Manchester, TN 37355-2420 | 2013-05-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 21102 |
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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.