CHARLES HARDY HENDERSON


Address: 111 Candlewick Rd, Hattiesburg, MS 39402-3010
Phone: 6016061994

CHARLES HARDY HENDERSON (NPI# 1154431963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154431963
Entity Type Individual
Full Name CHARLES HARDY HENDERSON
Credential MD
Practice Address 111 Candlewick Rd
Hattiesburg
MS 39402-3010
Practice Telephone 6016061994
Mailing Telephone 6016061994
Enumeration Date 2006-08-30
Last Update Date 2020-08-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology 09973 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00113707 05
MS AMERICAN ADMIN GROUP 64050757286 01

Other Providers CHARLES HENDERSON

NPI Name Taxonomy Address Enumeration
1437564697 Charles Todd Henderson Counselor 106 Stewart Ave, Greenville, AL 36037-1416 2014-06-26
1972779379 Charles Henderson Counselor 17319 Garwood Chase, San Antonio, TX 78247-5839 2008-05-06
1922154418 Charles Montgomery Henderson Physical Therapist 1111 Glynco Pkwy Ste 110, Brunswick, GA 31525-7922 2007-01-26
1912067273 Charles Gerry Henderson Urology 9300 Dewitt Loop, Attn: Urology, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 2006-12-09
1053799817 Charles Henderson Counselor 5525 E 51st St Ste 400, Tulsa, OK 74135-7467 2015-05-13
1780925180 Charles A Henderson Behavioral Analyst 3435 W Craig Rd Ste A, North Las Vegas, NV 89032-5116 2013-03-09
1508183112 Charles Henderson Counselor 730 S Pleasantburg Dr, Morgan Manor Suite 201 H, Greenville, SC 29609 2010-04-23
1841388329 Charles Franklin Henderson Internal Medicine 2108 Harrisburg Pike, Suite 200, Lancaster, PA 17601-2644 2006-10-10
1346262565 Charles William Henderson Dentist 1230 7th Ave, Longview, WA 98632-3166 2006-07-24
1972523066 Charles A Henderson Anesthesiology 415 S 28th Ave, Hattiesburg, MS 39401-7246 2006-07-20

Office Location

Street Address 111 CANDLEWICK RD
City HATTIESBURG
State MS
Zip Code 39402-3010

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572965 Resilient Therapy and Solutions, Pllc Clinic/Center 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 2020-09-12
1932710225 Jones County Medical Supplies, Inc Durable Medical Equipment & Medical Supplies 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 2020-08-11
1467086736 Elizabeth A. Perry Technician 1220 Marrie St, Hattiesburg, MS 39402 2020-02-26
1225678063 Connor Gregory Galloway Physical Therapist 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 2020-01-09
1487291456 Megan Marie Smith Social Worker 11 Woodstone Plaza, Hattiesburg, MS 39402 2019-12-09
1821656612 Julie Covington Mcmahan Dentist 100 Madison Plaza, Hattiesburg, MS 39402 2019-06-05
1295392074 Hattiesburg Clinic, Pa Preventive Medicine 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 2019-05-28
1760945356 Rachandeep Chahal Student in an Organized Health Care Education/Training Program 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 2019-04-10
1386101137 Courtney L Smith Behavior Technician 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 2019-02-28
1891269940 Amanda Laine Mcarthur-macisaac Registered Nurse 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 2019-01-11
Find all providers in zip 39402

Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700296050 James House Jr. Anesthesiology 810 Monterrey Ln, Hattiesburg, MS 39402-2437 2014-05-07
1760774095 Magnolia Fireflies, LLC Anesthesiology 15 Saint Augustine Ave, Hattiesburg, MS 39402-6609 2011-05-04
1518990266 Robin H Schwartz Anesthesiology 139 Fairfield Dr, Hattiesburg, MS 39402-1303 2006-07-08
1023420478 Kristen Sicard Spruill Anesthesiology 415 S 28th Ave, Hattiesburg, MS 39401 2014-05-20
1932543816 Timothy Andrew Torres Anesthesiology 415 S 28th Ave, Hattiesburg, MS 39401-7246 2013-04-23
1174887319 David Motanya Anesthesiology 415 S 28th Ave, Hattiesburg, MS 39401-7246 2012-07-03
1285923144 Robin H. Schwartz, M.d., P.a. Anesthesiology 139 Fairfield Dr, Hattiesburg, MS 39402-1303 2011-03-31
1497960264 Christopher Painter Anesthesiology 415 S 28th Ave, Hattiesburg, MS 39401-7246 2007-05-14
1265564041 Hattiesburg Anesthesia Associates, LLC Anesthesiology 5001 Hardy St, Hattiesburg, MS 39402-1308 2007-03-09
1689775314 Cynthia Lee Thames Anesthesiology 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 2006-09-26
Find all providers in HATTIESBURG

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City HATTIESBURG
Zip Code 39402

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Dataset Information

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.

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