Jannell F Henderson (NPI# 1225039167, PAC ID# 7618911181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1225039167 |
| PAC ID by PECOS | 7618911181 |
| Professional Enrollment ID | I20050615000507 |
| Full Name | Jannell F Henderson |
| Organization Legal Name | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| Address |
3585 Gorge Pl Carlsbad CA 92010-7083 |
| Phone Number | 9858674050 |
| Gender | F |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 1951552900 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| 490115 | TWIN COUNTY REGIONAL HOSPITAL |
| 190167 | MERCY REGIONAL MEDICAL CENTER |
| 190218 | SABINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3585 Gorge Pl, Carlsbad, CA 92010-7083 | 9858674050 | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| 10263 Winecreek Ct, San Diego, CA 92127-3728 | 9525951100 | SUTTER BAY MEDICAL FOUNDATION |
| 14397 Caminito Lazanja, San Diego, CA 92127-3635 | 9525951100 | SUTTER BAY MEDICAL FOUNDATION |
| 3637 Kingsley St, San Diego, CA 92106-1107 | 9858674050 | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| 3637 Kingsley St, San Diego, CA 92106-1107 | 9525951100 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 3637 Kingsley St, San Diego, CA 92106-1107 | SUTTER BAY MEDICAL FOUNDATION | |
| 3637 Kingsley St, San Diego, CA 92106-1107 | VIRTUAL RADIOLOGIC PROFESSIONALS OF CALIFORNIA PA | |
| 6368 Caminito Telmo, San Diego, CA 92111-7230 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS OF CALIFORNIA PA |
| Organization Legal Name | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Atkinson | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 5827 Cedar Hill Way, San Antonio, TX 78253-5530 |
| Kenton E Kagy | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 722 Catalina Aisle St, Las Vegas, NV 89138-4608 |
| Kathryn Elizabeth Pflug | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 95 Judge Tanner Blvd, Covington, LA 70433-7500 |
| Ketan C Davae | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 156 Dedham St, Canton, MA 02021-1509 |
| Carla V Ramas | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 1417 Ne 27th St, Fort Lauderdale, FL 33334-4344 |
| Jed A Santa Maria | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 452 Devonshire Dr, Brea, CA 92821-6014 |
| Alison M Robinette | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 9290 E Thompson Peak Pkwy, Unit 240, Scottsdale, AZ 85255-4512 |
| Dennis Patrick Lindfors | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 822 24th Ave Nw, Gig Harbor, WA 98335-7850 |
| Danielle M Weems | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 3005 Sunset Hills Blvd S, Edwardsville, IL 62025-3734 |
| Alan J Kopp | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 22 E 1st St, Suite 6, New York, NY 10003-9384 |
| Street Address |
3585 GORGE PL |
| City | CARLSBAD |
| State | CA |
| Zip | 92010-7083 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly J Burkholz | Diagnostic Radiology | Advanced Radiology Pa | 3585 Gorge Pl, Carlsbad, CA 92010-7083 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David F Marsh | Physical Therapy | 2758 Victoria Ave, Carlsbad, CA 92010-2191 | |
| Mark Sendar | Family Medicine | 3732 Strata Dr, Carlsbad, CA 92010-5503 | |
| Terri B Kraus | Physical Therapy | 3222 Grey Hawk Ct, Carlsbad, CA 92010-6651 | |
| Audrey D Thompson | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Andrew Joseph Pavlov | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Kristen May Lopez | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Meghan Zwahlen | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Ross Montgomery Edmunds | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Megan D Waller | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Casey Waller | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Find all physicians in zip 92010 | |||
| City | CARLSBAD |
| Zip Code | 92010 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CARLSBAD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jannell F 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.