Charles Michael Herndon
PROVIDENCE HEALTH AND SERVICES - WASHINGTON


Address: 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Phone: 9072126970

Charles Michael Herndon (NPI# 1326062431, PAC ID# 5092603712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1326062431
PAC ID by PECOS 5092603712
Professional Enrollment ID I20040305000225
Full Name Charles Michael Herndon
Organization Legal Name PROVIDENCE HEALTH AND SERVICES - WASHINGTON
Address 3760 Piper St
Suite 1108
Anchorage
AK 99508-4683
Phone Number 9072126970
Gender M
Credential MD
Medical School UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty INTERNAL MEDICINE
Secondary Specialties ADDICTION MEDICINE
Group Practice PAC ID 2163335746
Number of Group Practice Members 62
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 9072126970 PROVIDENCE HEALTH AND SERVICES - WASHINGTON

Organization Information

Organization Legal Name PROVIDENCE HEALTH AND SERVICES - WASHINGTON
Physicians 212

Physicians with the same organization

Name Specialty Organization Address
Holly Ross Farnam Physical Therapy Providence Health and Services - Washington 1111 S 2nd Ave, Walla Wall, WA 99362-4118
Andrew Meillier Hospitalist Providence Health and Services - Washington 401 W Poplar St, Walla Walla, WA 99362-2846
Johanna Menard Nurse Practitioner Providence Health and Services - Washington 1705 Se Meadowbrook Blvd, Suite 2, College Place, WA 99324-1756
Kortney K Killgore Smith Nurse Practitioner Providence Health and Services - Washington 1025 S 2nd Ave, Walla Walla, WA 99362-4116
Brianne N Bridgeland Nurse Practitioner Providence Health and Services - Washington 380 Chase Ave, Walla Walla, WA 99362-2924
Gordon G Hoffnagle Certified Registered Nurse Anesthetist (crna) Providence Health and Services - Washington 982 E Columbia Ave, Colville, WA 99114-3316
Julie M Rice Nurse Practitioner Providence Health and Services - Washington 18313 Paulson St Sw, Suite A, Rochester, WA 98579-9262
Charles E Nussbaum Neurosurgery Providence Health and Services - Washington 301 W Poplar St, Suite 50, Walla Walla, WA 99362-2800
Adam D Ostrowski Occupational Therapy Providence Health and Services - Washington 1025 S 2nd Ave, Walla Walla, WA 99362-4116
Julie Ann Cooke Qualified Speech Language Pathologist Providence Health and Services - Washington 1111 S 2nd Ave, Walla Wall, WA 99362-4118

Office Location

Street Address 3760 PIPER ST
SUITE 1108
City ANCHORAGE
State AK
Zip 99508-4683

Physicians in the same location

Name Specialty Organization Address
Tabatha Schellenger Nurse Practitioner Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Lisa Lindquist Psychiatry Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Dorothy Chyung Psychiatry Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Sandra M Mitchell Psychologist, Clinical Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
David Vernola Clinical Social Worker Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Erica Coady Psychologist, Clinical Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Diana Belen Waddell Clinical Social Worker Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Deanna R Johnson Psychiatry Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Kristin Rehmann Clinical Social Worker Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Justin E Shipowick Clinical Social Worker Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
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Physicians in the same zip code

Name Specialty Organization Address
Jonathan Mark Vanravenswaay Family Medicine 3521 Mountain View Dr, Anchorage, AK 99508-1111
Aaron M Dechant Chiropractic Better Health Pain and Wellness Centers, LLC 729 Northway Dr, Anchorage, AK 99508-2030
Doron Ben Avi Diagnostic Radiology Alaska Imaging Associates, LLC 2801 Debarr Rd, Anchorage, AK 99508-2932
Even R Evanson Physician Assistant Alaska Heart Institute 2801 Debarr Rd, Anchorage, AK 99508-2932
Alexis Delgado Critical Care (intensivists) Alaska Hospitalist Group LLC 2801 Debarr Rd, Anchorage, AK 99508-2932
Suzanne C Grey Certified Registered Nurse Anesthetist (crna) Denali Anesthesia, P.C. 2801 Debarr Rd, Anchorage, AK 99508-2932
Anthony K Larson Family Medicine South Sound Inpatient Physicians Pllc 2801 Debarr Rd, Anchorage, AK 99508-2932
David James Scordino Emergency Medicine Denali Emergency Medicine Assoc PC 2801 Debarr Rd, Anchorage, AK 99508-2932
Charles L Wilson Internal Medicine South Sound Inpatient Physicians Pllc 2801 Debarr Rd, Anchorage, AK 99508-2932
Joshua J Sahara Emergency Medicine Denali Emergency Medicine Assoc PC 2801 Debarr Rd, Anchorage, AK 99508-2932
Find all physicians in zip 99508

Competitor

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City ANCHORAGE
Zip Code 99508
Specialty INTERNAL MEDICINE
City + Specialty ANCHORAGE + INTERNAL MEDICINE

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Dataset Information

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.

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