DR. MARK HENDERSON


Address: 900 Broadway, Bangor, ME 04401-1900
Phone: 2079071187

DR. MARK HENDERSON (NPI# 1891895272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891895272
Entity Type Individual
Full Name DR. MARK HENDERSON
Credential MD
Practice Address 900 Broadway
Bangor
ME 04401-1900
Mailing Address C/o St Marys Health System - Provider Enrollment
Po Box 7291
Lewiston
ME 04243-7291
Practice Telephone 2079071187
Practice Fax Number 2079071189
Mailing Telephone 2077778560
Mailing Fax Number 2077778800
Enumeration Date 2006-09-25
Last Update Date 2020-02-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
MD12208 ME Allopathic & Osteopathic Physicians

Other Providers MARK HENDERSON

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
1760902498 Mark E Henderson Family Medicine 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 2017-06-23
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
1376562082 Mark Reagan Henderson Dentist 5700 Arnold St, Tinker Afb, OK 73145-8105 2006-07-19

Office Location

Street Address 900 BROADWAY
City BANGOR
State ME
Zip Code 04401-1900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083607253 James J Nakashima Internal Medicine 900 Broadway, Bangor, ME 04401-1900 2005-08-23
1881210193 Devon Courtney Malay Nurse Practitioner 900 Broadway, Bangor, ME 04401-1900 2020-06-23
1962937417 Tina Marie Blackley Nurse Practitioner 900 Broadway, Bangor, ME 04401 2017-04-21
1134508518 Ifeanyi Ioana Okam Internal Medicine 900 Broadway, Bangor, ME 04401 2015-05-19
1770911430 Kristen L Druan Nurse Practitioner 900 Broadway, Bangor, ME 04401-1900 2013-10-16
1386980829 Teresa M Bartlett Nurse Practitioner 900 Broadway, Bangor, ME 04401-1900 2013-01-02
1104160498 Zachary Mitchell Greenier Physician Assistant 900 Broadway, Bangor, ME 04401-1900 2012-11-27
1437406444 Deziree D Worster Nurse Practitioner 900 Broadway, Bangor, ME 04401 2012-08-08
1891059952 Deborah H Higgins Nurse Practitioner 900 Broadway, Bangor, ME 04401-1900 2012-07-03
1316219322 Ashley L Hadley Nurse Practitioner 900 Broadway, Bangor, ME 04401-1900 2012-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
Find all providers in zip 04401

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013327162 Aaron Wade Barton Internal Medicine 885 Union St Ste 235, Bangor, ME 04401-3096 2014-04-29
1881092765 St. Joseph Hospital Internal Medicine 360 Broadway, Bangor, ME 04401-3979 2014-12-09
1558637827 Shazia Ahmad Internal Medicine 905 Union St Ste 11, Bangor, ME 04401-3039 2012-03-30
1750652822 Poonam Khadka Internal Medicine 900 Broadway, Bangor, ME 04401-1900 2012-01-22
1184777062 Ana X Mendoza Salazar Internal Medicine 900 Broadway, Bangor, ME 04401-1900 2007-01-22
1700804671 Katarzyna Sadurska Internal Medicine 905 Union St, Suite 11, Bangor, ME 04401-3050 2006-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518254903 Roger Scott Rittmaster Internal Medicine 42 William Glen Dr, Camden, ME 04843-4431 2011-07-06
1881876266 Celeste Cheryll Lopez Quianzon Internal Medicine 46 Fairview Ave Ste 335, Skowhegan, ME 04976-1481 2007-11-28
1962624189 Thabo Kenosi Internal Medicine Mmp Endocrinology & Diabetes Center, 175 Us Route One, Scarborough, ME 04074-9308 2007-05-03
1437138955 Wesley P Fairfield Internal Medicine 144 State St Fl 4, Portland, ME 04101-3776 2006-01-12
1811985963 David Rawson Hotelling Internal Medicine 477 Congress St, 5th Floor, Portland, ME 04101-3427 2005-10-12
1942695093 Rebecca Hillyer Leary Internal Medicine 175 Us Route 1, Scarborough, ME 04074-9048 2015-04-04
1699076133 Mainehealth Internal Medicine 22 Bramhall St, Portland, ME 04102 2010-11-16
1134436165 Metabolic Leader LLC Internal Medicine 51 Us Route 1 Ste H, Scarborough, ME 04074-7134 2010-09-13
1124344122 Kiranjot Gujral Internal Medicine 175 Us Route One, Scarborough, ME 04074-9308 2010-04-15
1184857203 Rashid Cheema Internal Medicine 140 Academy St, Presque Isle, ME 04769-3102 2009-08-24
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Competitor

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City BANGOR
Zip Code 04401

Improve Information

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Dataset Information

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.

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