Sherri L Henderson (NPI# 1417924358, PAC ID# 0244250009) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417924358 |
| PAC ID by PECOS | 0244250009 |
| Professional Enrollment ID | I20120917000836 |
| Full Name | Sherri L Henderson |
| Organization Legal Name | FIRST CHOICE MEDICAL GROUP OF BREVARD LLC |
| Address |
709 S Harbor City Blvd Suite 100 Melbourne FL 32901-1936 |
| Phone Number | 3217252225 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628240884 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100291 | STEWARD MELBOURNE HOSPITAL |
| 100316 | PALM BAY HOSPITAL |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| Address | Phone | Organization |
|---|---|---|
| 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 | 3217252225 | FIRST CHOICE MEDICAL GROUP OF BREVARD LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | FIRST CHOICE MEDICAL GROUP OF BREVARD LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina L Kaiser | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Donald H Vliegenthart | Orthopedic Surgery | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Richard J Harrison | Hand Surgery | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Christina Lynn Moore | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Ted Ryan Landgraf | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Vanessa Tobon | Occupational Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Kelly Amanada Prete | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Chelsea Engelhardt | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Kimberly Renee Yancey | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Brandon Nathan Emanuel Van Kempen | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Street Address |
709 S HARBOR CITY BLVD SUITE 100 |
| City | MELBOURNE |
| State | FL |
| Zip | 32901-1936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina L Kaiser | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Donald H Vliegenthart | Orthopedic Surgery | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Richard J Harrison | Hand Surgery | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Christina Lynn Moore | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Ted Ryan Landgraf | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Vanessa Tobon | Occupational Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Kelly Amanada Prete | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Chelsea Engelhardt | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Kimberly Renee Yancey | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Brandon Nathan Emanuel Van Kempen | Physical Therapy | First Choice Medical Group of Brevard LLC | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1936 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony R Else | Physical Therapy | 18 W Ave 'b' Unit, Suite 4, Melbourne, FL 32901-1219 | |
| Yanqing Gu | Internal Medicine | 551 S Apollo Blvd, Suite 103, Melbourne, FL 32901-1274 | |
| Richard J Wecker | Chiropractic | 551 S Apollo Blvd, Suite 105, Melbourne, FL 32901-1274 | |
| Ralph Zipper | Urology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| James Loras Raders | Obstetrics/gynecology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| Brian J Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Claudia R Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Ana Marisol Conde Rosa | Infectious Disease | Project Response Inc | 745 S Apollo Blvd, Melbourne, FL 32901-1457 |
| Monica L Wise | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Heather M Weeks | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Find all physicians in zip 32901 | |||
| City | MELBOURNE |
| Zip Code | 32901 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MELBOURNE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Sherri L Henderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.