Stanley C Henjum Ii (NPI# 1144200486, PAC ID# 9931000452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1144200486 |
| PAC ID by PECOS | 9931000452 |
| Professional Enrollment ID | I20040121000837 |
| Full Name | Stanley C Henjum Ii |
| Organization Legal Name | MARSHALL MEDICAL CENTER |
| Address |
1004 Fowler Way Suite 4 Placerville CA 95667-5746 |
| Phone Number | 5306269488 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1984 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7517875859 |
| Number of Group Practice Members | 101 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050254 | MARSHALL MEDICAL CENTER |
| 050108 | SUTTER MEDICAL CENTER, SACRAMENTO |
| Address | Phone | Organization |
|---|---|---|
| 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 | 5306269488 | MARSHALL MEDICAL CENTER |
| Organization Legal Name | MARSHALL MEDICAL CENTER |
| Physicians | 98 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarandeep Kaur | Family Medicine | Marshall Medical Center | 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9671 |
| Loni Jay | Family Medicine | Marshall Medical Center | 4341 Golden Ctr Dr, Placerville, CA 95667-6260 |
| Jane A Newhard Parks | Nurse Practitioner | Marshall Medical Center | 1045 Marshall Way, Placerville, CA 95667-5721 |
| Kathryn W Mittie | Nurse Practitioner | Marshall Medical Center | 1000 Flower Way, Placerville, CA 95667-5738 |
| Carol Foley | Nurse Practitioner | Marshall Medical Center | 1095 Marshall Way, Placerville, CA 95667-5722 |
| Troy S Dickson | Orthopedic Surgery | Marshall Medical Center | 4300 Golden Ctr Dr, Suite C, Placerville, CA 95667-6278 |
| Timna Lee Hughes | Obstetrics/gynecology | Marshall Medical Center | 1095 Marshall Way 2nd Way, Marshall Medical Center Ob/gyn, Placerville, CA 95667-5722 |
| Mark W Redor | Gastroenterology | Marshall Medical Center | 3501 Palmer Dr, Suite 201, Cameron Park, CA 95682-8276 |
| Kenneth E Nelson | Obstetrics/gynecology | Marshall Medical Center | 1095 Marshall Way, Placerville, CA 95667-5722 |
| Gurmeet Talwar | Family Medicine | Marshall Medical Center | 3581 Palmer Dr, Suite 602, Cameron Park, CA 95682-8238 |
| Street Address |
1004 FOWLER WAY SUITE 4 |
| City | PLACERVILLE |
| State | CA |
| Zip | 95667-5746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lena Avedissian | Cardiovascular Disease (cardiology) | Marshall Medical Center | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 |
| Kristin E Sornborger | Nurse Practitioner | Marshall Medical Center | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 |
| Scott R Yoder | Cardiovascular Disease (cardiology) | Marshall Medical Center | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 |
| Alexander Massey | Pulmonary Disease | Marshall Medical Center | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 |
| Necati Uygur Tekin | Cardiovascular Disease (cardiology) | Marshall Medical Center | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 |
| Daming Zhu | Cardiovascular Disease (cardiology) | Marshall Medical Center | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 |
| Wendy L Rosencrans Wells | Nurse Practitioner | Marshall Medical Center | 1004 Fowler Way, Suite 4, Placerville, CA 95667-5746 |
| William Barley Jr. | Family Practice | 1004 Fowler Way, Suite 1, Placerville, CA 95667-5746 | |
| Kamineni S Rao | Allergy/immunology | 1004 Fowler Way, Suite 1, Placerville, CA 95667-5746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chi Mei Van Hoozen | Internal Medicine | 4770 Rocklin Road, Suite 3, Rocklin, CA 95667-3334 | |
| Matthew H Shepherd | Chiropractic | 279 Placerville Dr, Suite C, Placerville, CA 95667-3931 | |
| Esther S Hall | Chiropractic | 183 Placerville Dr, Suite A, Placerville, CA 95667-3933 | |
| Charles W Burns | Chiropractic | 183 Placerville Dr, Suite A, Placerville, CA 95667-3933 | |
| Beverly Scherf | Clinical Psychologist | 2864 Ray Lawyer Dr, Suite 201, Placerville, CA 95667-3936 | |
| Michael F Liddell | Chiropractic | 2864 Ray Lawyer Dr, Placerville, CA 95667-3938 | |
| Mark Schwartzmeyer | Chiropractic | 640 Placerville Dr, Placerville, CA 95667-4215 | |
| Mandeep Singh | Nephrology | 941 Spring, Suite 2, Placerville, CA 95667-4546 | |
| Dennis J Moore | Chiropractic | 941 Spring St, Suite 1, Placerville, CA 95667-4546 | |
| Terry C Weyl | Psychologist, Clinical | 941 Spring St, Suite 5, Placerville, CA 95667-4546 | |
| Find all physicians in zip 95667 | |||
| City | PLACERVILLE |
| Zip Code | 95667 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PLACERVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Stanley C Henjum Ii.
| 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.