MARGOT D HENDERSON (NPI# 1023092822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023092822 |
| Entity Type | Individual |
| Full Name | MARGOT D HENDERSON |
| Credential | P.A.-C. |
| Practice Address |
1755 Airway Ave Kingman AZ 86409-3620 |
| Mailing Address |
3900 Stockton Hill Rd Ste B368 Kingman AZ 86409-3029 |
| Practice Telephone | 9286811234 |
| Practice Fax Number | 9286811811 |
| Mailing Telephone | 9286811234 |
| Mailing Fax Number | 9286811811 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2798 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 827149 | 05 | |
| AZ | RAILROAD MEDICARE | P00256908 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872886 | Margot Henderson | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2019-10-15 |
| Street Address |
1755 AIRWAY AVE |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635396 | Colton Health Az, LLC | Clinic/Center | 1755 Airway Ave, Kingman, AZ 86409-3620 | 2020-09-30 |
| 1770960296 | Rebecca D Gayheart | Nurse Practitioner | 1755 Airway Ave, Kingman, AZ 86409-3620 | 2015-05-05 |
| 1952531121 | Sherif Nasef, Md, Pllc | Internal Medicine | 1755 Airway Ave, Kingman, AZ 86409-3620 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023442985 | Maikel Hernandez Diaz | Physician Assistant | 3435 Karen Ave, Kingman, AZ 86401-6485 | 2013-08-28 |
| 1548422876 | Charles H. Tadlock, M.d. Ltd. | Physician Assistant | 1912 Miami Ave, Kingman, AZ 86401-4127 | 2008-06-27 |
| 1285016394 | Wyatt Randolph Eddy | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2015-06-25 |
| 1699052357 | Craig Stephen Kantack | Physician Assistant | 1739 E Beverly Ave, Suite #101, Kingman, AZ 86409-3593 | 2011-11-09 |
| 1588816342 | Claudia L. Gallagher | Physician Assistant | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2008-10-10 |
| 1780605048 | Melaina Zanele Blomenkamp | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2006-07-22 |
| 1760408405 | Jeffrey S Boyett | Physician Assistant | 3931 Stockton Hill Rd, Suite C, Kingman, AZ 86409-2426 | 2006-07-14 |
| 1295789584 | Jeffery Leonard Henderson | Physician Assistant | 701 E A Ave, Kingman, KS 67068-1723 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
| 1194343897 | Alyssa Kay Poland | Physician Assistant | 10006 W Los Gatos Dr, Peoria, AZ 85383-3343 | 2020-07-08 |
| 1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
| 1932748233 | Hayley Klotz | Physician Assistant | 440 N Navajo Dr, Page, AZ 86040-0950 | 2020-01-03 |
| 1285273987 | Jaclyn Marie Schroeder | Physician Assistant | 7649 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6296 | 2019-12-27 |
| 1396388062 | Morgan Taylor Beckwith | Physician Assistant | 2128 Senita Dr, Lake Havasu City, AZ 86403-5756 | 2019-10-24 |
| 1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
| 1871155143 | Terry Craven Wood | Physician Assistant | 7645 W Donald Dr, Peoria, AZ 85383-3142 | 2019-07-08 |
| 1720548753 | Alexis D Elliott | Physician Assistant | 2350 Miracle Mile # 600a, Bullhead City, AZ 86442-7505 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.