COURTLAND HENDERSON (NPI# 1194326496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194326496 |
| Entity Type | Individual |
| Full Name | COURTLAND HENDERSON |
| Credential | PA-C |
| Practice Address |
2614 Wagon Trl Enid OK 73703-1630 |
| Practice Telephone | 5802284039 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2614 WAGON TRL |
| City | ENID |
| State | OK |
| Zip Code | 73703-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1083154173 | Amanda Percival, Pllc | Counselor | 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 | 2017-03-08 |
| 1972934297 | Ty Stroble | Behavioral Analyst | 408 N Oakwood, Apt.13d, Enid, OK 73703 | 2013-12-12 |
| 1801132204 | Ryan Patrick Williams | Dentist | 2510 W Chestnut Ave, Ste A, Enid, OK 73703 | 2012-12-13 |
| 1295094720 | Heather Jeanette Linder | Counselor | 2700 N. Vanburen, Trailer 240, Enid, OK 73703 | 2012-05-03 |
| 1366729477 | Karen Lynn Harris | Counselor | 1625 W. Garriot, Suite F, Enid, OK 73703 | 2011-11-03 |
| 1659666501 | Courtney Michelle Pike | Behavioral Analyst | 1625 West Owen K Garriott Road # F, Enid, OK 73703 | 2011-06-17 |
| 1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
| 1770812109 | Tabitha Janel Simon | Counselor | 529 North Grand, Enid, OK 73703 | 2009-12-14 |
| Find all providers in zip 73703 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306352422 | Nicholas A Mietus | Physician Assistant | 330 S 5th St Ste 400, Enid, OK 73701-5863 | 2017-12-27 |
| 1588106488 | Carmen Sander Cumpston | Physician Assistant | 3201 N Van Buren St Ste 400, Enid, OK 73703-1800 | 2016-11-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1780793554 | Elena G Cutter | Physician Assistant | 3201 N Van Buren St Ste 350, Enid, OK 73703-1814 | 2006-08-29 |
| 1881611358 | Enid Emergency Physicians, LLP | Physician Assistant | 305 S Fifth Street, Enid, OK 73701-5832 | 2006-07-17 |
| 1710974506 | Matthew W. Thoms | Physician Assistant | 707 S Monroe St, Enid, OK 73701-7286 | 2005-10-05 |
| 1114926243 | Charity J Goben | Physician Assistant | 401 S 3rd St, Attn: Integris Bass Occupation Medicine, Enid, OK 73701-5737 | 2005-07-20 |
| 1700885845 | Christie J Peeper | Physician Assistant | 915 E Garriott Rd, Suite D, Enid, OK 73701-6156 | 2005-07-20 |
| 1356347629 | Louie Campbell | Physician Assistant | 1805 W Garriott Rd, Enid, OK 73703-5526 | 2005-06-22 |
| 1033764360 | Kelsey Danielle Landon | Physician Assistant | 825 E Owen K Garriott Rd, Enid, OK 73701-5928 | 2019-08-04 |
| Find all providers in ENID | ||||
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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.