LORRE T HENDERSON (NPI# 1942398847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942398847 |
| Entity Type | Individual |
| Full Name | LORRE T HENDERSON |
| Credential | MD |
| Practice Address |
3 Medical Plaza Dr Ste 220 Roseville CA 95661-3088 |
| Mailing Address |
Po Box 255668 Sacramento CA 95865-5668 |
| Practice Telephone | 9167737920 |
| Practice Fax Number | 9167737921 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | C41977 | CA | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
C41977 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C419770 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2702 Low Ct, Fairfield, CA 945349727 | 7074322600 | 7074322666 |
| Street Address |
3 MEDICAL PLAZA DR STE 220 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427336916 | Jennifer Marie Castle | Audiologist | 3 Medical Plaza Dr Ste 220, Roseville, CA 95661-3088 | 2011-08-01 |
| 1700109030 | Aaron Anthony Centric | Otolaryngology | 3 Medical Plaza Dr Ste 220, Roseville, CA 95661-3088 | 2010-03-01 |
| 1477625200 | Robert Finn | Otolaryngology | 3 Medical Plaza Dr Ste 220, Roseville, CA 95661-3088 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073931077 | Daniel In Chung | Otolaryngology | 1600 Eureka Rd # D, Roseville, CA 95661 | 2014-04-07 |
| 1407859168 | John Macri | Otolaryngology | 2 Medical Plaza, Ste 235, Roseville, CA 95661 | 2005-05-24 |
| 1336142009 | Randall A Ow | Otolaryngology | 2 Medical Plaza Dr, Ste 225 & 235, Roseville, CA 95661-3043 | 2005-05-24 |
| 1760725683 | Daniel Abraham Carlton | Otolaryngology | 2 Medical Plaza Dr Ste 225, Roseville, CA 95661-3044 | 2013-03-28 |
| 1629399126 | Stephanie A Austin | Otolaryngology | 3 Medical Plaza Dr, #220, Roseville, CA 95661-3087 | 2010-06-18 |
| 1700109030 | Aaron Anthony Centric | Otolaryngology | 3 Medical Plaza Dr Ste 220, Roseville, CA 95661-3088 | 2010-03-01 |
| 1073747663 | Tim Fife | Otolaryngology | 2 Medical Plaza Dr, Suite 225, Roseville, CA 95661-3043 | 2009-05-11 |
| 1902078009 | Eric Youngkyoo Ro | Otolaryngology | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2008-03-28 |
| 1477625200 | Robert Finn | Otolaryngology | 3 Medical Plaza Dr Ste 220, Roseville, CA 95661-3088 | 2006-11-15 |
| 1871671511 | Carol Hoffman Rotas | Otolaryngology | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| Find all providers in ROSEVILLE | ||||
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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.