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.
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 |
Address | Phone | Organization |
---|---|---|
3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 | 9072126970 | PROVIDENCE HEALTH AND SERVICES - WASHINGTON |
Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - WASHINGTON |
Physicians | 212 |
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 |
Street Address |
3760 PIPER ST SUITE 1108 |
City | ANCHORAGE |
State | AK |
Zip | 99508-4683 |
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 |
Find all physicians in the same address |
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 |
City | ANCHORAGE |
Zip Code | 99508 |
Specialty | INTERNAL MEDICINE |
City + Specialty | ANCHORAGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charles Michael Herndon.
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.