Angela M Henderlong (NPI# 1003311887, PAC ID# 3173888344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003311887 |
| PAC ID by PECOS | 3173888344 |
| Professional Enrollment ID | I20180518000477 |
| Full Name | Angela M Henderlong |
| Organization Legal Name | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Address |
2660 Sw 3rd St Topeka KS 66606-0000 |
| Phone Number | 7853570301 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496659195 |
| Number of Group Practice Members | 515 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170086 | STORMONT VAIL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2660 Sw 3rd St, Topeka, KS 66606-0000 | 7853570301 | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Organization Legal Name | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Physicians | 511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad Alhariri | Hospitalist | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Deshala Castille | Obstetrics/gynecology | Cotton Oneil Clinic Revocable Trust | 1301 W 12th Ave, Suite 401, Emporia, KS 66801-2591 |
| Lenora C Edwards | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 423 N Main St, Rossville, KS 66533-9803 |
| Caroline Abrahamson | Qualified Speech Language Pathologist | Cotton Oneil Clinic Revocable Trust | 1504 Sw 8th Ave Outpatient Gym 1st Floor, Topeka, KS 66606-1632 |
| James M Mcintosh | Family Medicine | Cotton Oneil Clinic Revocable Trust | 1704 Commercial Cir, Wamego, KS 66547-9690 |
| Kristin L Bosiljevac | Family Medicine | Cotton Oneil Clinic Revocable Trust | 118 W 4th St, Lebo, KS 66856-9437 |
| Renae Carsten | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 601 Sw Corporate Vw, Suite 200, Topeka, KS 66615-1245 |
| Grant K Ghahramani | Dermatology | Cotton Oneil Clinic Revocable Trust | 6650 Sw Mission Valley Dr, Topeka, KS 66614-5654 |
| Charla Reisdorph | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 3520 Sw 6th St, Topeka, KS 66606-2806 |
| Kylie B Hastings | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 131 W Market, Osage City, KS 66253-1000 |
| Street Address |
2660 SW 3RD ST |
| City | TOPEKA |
| State | KS |
| Zip | 66606-0000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Smith | Orthopedic Surgery | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Amy Lee Newbery | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Peter S Lepse | Orthopedic Surgery | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Amanda Platt | Qualified Speech Language Pathologist | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| James A Holland | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Ryan James Tomlins | Sports Medicine | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Kerry Lynne Smalley | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Andrew J Replogle | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Chia-hsun Tsai | Anesthesiology | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Theresa M Bari | Qualified Speech Language Pathologist | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Waterman | Orthopedic Surgery | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Ian J Kucera | Anesthesiology | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Florin O Nicolae | Interventional Pain Management | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Babak Marefat | Ophthalmology | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Caleb Pazzie | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Brian F Wilson | Orthopedic Surgery | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Ellarie P. Langdon | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Logan P Blackburn | Occupational Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Angela E Shaffer | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Brett E Wallace | Orthopedic Surgery | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Find all physicians in zip 66606 | |||
| City | TOPEKA |
| Zip Code | 66606 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TOPEKA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela M Henderlong.
| 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.