HENDERSONVILLE PEDIATRICS, P.A. (NPI# 1912966656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912966656 |
| Entity Type | Organization |
| Organization Name | HENDERSONVILLE PEDIATRICS, P.A. |
| Practice Address |
600 Beverly Hanks Ctr Hendersonville NC 28792-2305 |
| Practice Telephone | 8286933296 |
| Practice Fax Number | 8286963530 |
| Mailing Telephone | 8286933296 |
| Mailing Fax Number | 8286963530 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. TAMARA HYDER (PRACTICE MANAGER) |
| Authorized Official Telephone | 8286933296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 01764 | 05 |
| Street Address |
600 BEVERLY HANKS CTR |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28792-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740665736 | Krystal A Raines | Dietitian, Registered | 600 Beverly Hanks Ctr, Hendersonville, NC 28792-2305 | 2015-07-20 |
| 1932548666 | Dustin Alderson | Pediatrics | 600 Beverly Hanks Ctr, Hendersonville, NC 28792 | 2013-06-15 |
| 1255618963 | Elizabeth Conway Williams | Counselor | 600 Beverly Hanks Ctr, Hendersonville, NC 28792-2305 | 2011-11-09 |
| 1457665028 | Carolina Wellth | Social Worker | 600 Beverly Hanks Ctr, Hendersonville, NC 28792-2305 | 2010-08-05 |
| 1457550386 | Robert Thomas Duffey | Pediatrics | 600 Beverly Hanks Ctr, Hendersonville, NC 28792-2305 | 2007-07-11 |
| 1376637173 | Ronald Wayne Buell | Physician Assistant | 600 Beverly Hanks Ctr, Hendersonville, NC 28792-2305 | 2006-10-03 |
| 1154381275 | Linda Goodwin | Specialist | 600 Beverly Hanks Ctr, Hendersonville, NC 28792-2305 | 2006-03-24 |
| 1700846854 | Veresa T Myers | Pediatrics | 600 Beverly Hanks Ctr, Hendersonville, NC 28792-2305 | 2006-03-24 |
| 1962462986 | Anne Smith | Specialist | 600 Beverly Hanks Ctr, Hendersonville, NC 28792-2305 | 2006-03-24 |
| 1184684201 | Ora J Wells | Pediatrics | 600 Beverly Hanks Ctr, Hendersonville, NC 28792-2305 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932690187 | Mark Levi | Chiropractor | 1032 Greenville Hwy Ste B, Hendersonville, NC 28792 | 2018-05-23 |
| 1427548080 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 635 Greenville Hwy, Hendersonville, NC 28792 | 2018-05-18 |
| 1649721911 | Sara R Ross | Social Worker | 48 Reedy Ridge Road, Hendersonville, NC 28792 | 2016-10-20 |
| 1669856530 | Andrew Harrell | Dentist | 200 Beverly Hanks Ctr Ste B, Hendersonville, NC 28792 | 2015-07-10 |
| 1114329539 | Pardee Urgent Care | Clinic/Center | 212 Thompson Street, Hendersonville, NC 28792 | 2014-09-17 |
| 1164844874 | Lynn Amanda Howard | Physician Assistant | 2579 Chimney Rock Road, Hendersonville, NC 28792 | 2014-01-15 |
| 1790035343 | Healthstat- Henderson County | Preventive Medicine | 211 1st Ave E., Hendersonville, NC 28792 | 2012-09-11 |
| 1578811188 | John Edward Kneedler | Physical Therapist | 600 Carolina Village Road, Hendersonville, NC 28792 | 2012-08-29 |
| 1962702845 | Rainbow Tree | In Home Supportive Care | 332 Signal Hill Road, Henderson, NC 28792 | 2010-10-26 |
| 1750600698 | Julie Ann Innes | Pharmacist | 3643 Howard Gap Road, Hendersonville, NC 28792 | 2010-05-17 |
| Find all providers in zip 28792 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780088690 | Mary Voelkel | Specialist | 113a Powell Dr, Hendersonville, TN 37075-3526 | 2014-10-21 |
| 1467727974 | Wings Adult Services | Specialist | 35 Executive Park Dr Ste C, Hendersonville, TN 37075-3486 | 2012-03-16 |
| 1538463757 | Brandy D. Mcfee | Specialist | 1 Pjs Pl, Hendersonville, NC 28792-7204 | 2011-01-03 |
| 1740500248 | Gordon Lee Engler | Specialist | 1 Valois Pl, Hendersonville, NC 28739-7057 | 2010-06-07 |
| 1194964163 | Hendersonville Spine and Pain Center, P.C. | Specialist | 639 E Main St Bldg A, Hendersonville, TN 37075-2646 | 2009-02-13 |
| 1720268253 | William Brent Nason M.d.,p.c. | Specialist | 353 New Shackle Island Rd Ste 224b, Hendersonville, TN 37075-2364 | 2007-11-13 |
| 1861684813 | Cynthia Marie Stroud | Specialist | 492 King Creek Blvd, Suite B, Hendersonville, NC 28792-4933 | 2007-08-14 |
| 1033313127 | Jodi Danielle Gerdes | Specialist | 353 New Shackle Island Rd Ste 222b, Hendersonville, TN 37075-2369 | 2007-06-12 |
| 1134170392 | Eileen Riehman | Specialist | 323 N Washington St, Hendersonville, NC 28739-4311 | 2006-05-13 |
| 1427037795 | Roy David Beaty | Specialist | 512 6th Ave W, Hendersonville, NC 28739-3558 | 2006-01-13 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 28792 |
Please comment or provide details below to improve the information on HENDERSONVILLE PEDIATRICS, P.A..
| 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.