DR. MARK C HENDERSON (NPI# 1184895856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184895856 |
| Entity Type | Individual |
| Full Name | DR. MARK C HENDERSON |
| Credential | M.D. |
| Practice Address |
4860 Y St Ste 100 Sacramento CA 95817-2307 |
| Mailing Address |
4150 V St Ste 3100 Sacramento CA 95817-1460 |
| Practice Telephone | 9167342737 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C50464 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 00C504640 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255372868 | Mark T Henderson | Emergency Medicine | 3607 Fern Valley Rd Ste 102, Louisville, KY 40219-1916 | 2006-06-08 |
| 1639139876 | Mark Shea Henderson | Surgery | 135 Plaza Dr, Suite 202, Sikeston, MO 63801-5136 | 2006-03-23 |
| 1992792840 | Mark William Henderson | Dentist | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2005-10-05 |
| 1699245084 | Mark Henderson | Occupational Therapist | 28 Ritters Ridge Ct, Owings Mills, MD 21117-3355 | 2018-11-28 |
| 1760902498 | Mark E Henderson | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2017-06-23 |
| 1407138167 | Mark Henderson | Pharmacist | 6958 Goodman Rd, Olive Branch, MS 38654-7034 | 2011-09-19 |
| 1912178229 | Mark Glen Henderson | Obstetrics & Gynecology | 2575 S Cimarron Rd, 102, Las Vegas, NV 89117-2682 | 2008-03-13 |
| 1841370707 | Mark A Henderson | Radiology | 2400 17th St, Columbus, IN 47201 | 2006-10-16 |
| 1891895272 | Mark Henderson | Internal Medicine | 900 Broadway, Bangor, ME 04401-1900 | 2006-09-25 |
| 1376562082 | Mark Reagan Henderson | Dentist | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2006-07-19 |
| Street Address |
4860 Y ST STE 100 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811536 | Janet E Pitcher | Nurse Practitioner | 4860 Y St Ste 100, Child Neurology, Sacramento, CA 95817-2307 | 2005-12-09 |
| 1265708556 | Jennifer Chen | Internal Medicine | 4860 Y St Ste 100, Sacramento, CA 95817 | 2012-03-30 |
| 1750556007 | Michelle Leigh Dossett | Internal Medicine | 4860 Y St Ste 100, Sacramento, CA 95817-2307 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933002 | On-site Md's Inc | Internal Medicine | 7600 Hospital Dr Ste J, Sacramento, CA 95823-5406 | 2020-05-13 |
| 1174027395 | Tan Huu Duong | Internal Medicine | 7260 E Southgate Dr Ste D, Sacramento, CA 95823-2609 | 2018-03-21 |
| 1275067340 | William Bradford | Internal Medicine | 4150 V St Ste 3100, Sacramento, CA 95817-1460 | 2017-04-16 |
| 1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
| 1144607219 | Jose Maria Abad. | Internal Medicine | 1601 13th Ave, Sacramento, CA 95818-4149 | 2015-04-28 |
| 1891181616 | Leslie Littlefield | Internal Medicine | 3493 Taylor St, Sacramento, CA 95838-4258 | 2015-04-08 |
| 1750776985 | Eric Michael Granowicz | Internal Medicine | 2315 Stockton Blvd Ste 4202, Sacramento, CA 95817-2201 | 2015-04-03 |
| 1205234960 | Gilbert R Sainz Sr. | Internal Medicine | 3220 American River Dr, Sacramento, CA 95864-7129 | 2014-12-11 |
| 1316382963 | Melony Chakrabarty | Internal Medicine | 4860 Y St Ste 101, Sacramento, CA 95817-2307 | 2013-05-08 |
| 1639411093 | Angel N Desai | Internal Medicine | 4150 V St Ste G500, Sacramento, CA 95817-1460 | 2013-03-25 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.