DR. CAROL J HENDERSON (NPI# 1225248479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225248479 |
| Entity Type | Individual |
| Full Name | DR. CAROL J HENDERSON |
| Credential | D.O. |
| Practice Address |
166 W Lehigh Ave Suite 102 Philadelphia PA 19133-3849 |
| Mailing Address |
3593 Indian Queen Ln Philadelphia PA 19129-1539 |
| Practice Telephone | 2154273099 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OSOO4538L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265899132 | Carol Henderson | Dental Hygienist | 2685 104th Ave, Zeeland, MI 49464-6801 | 2016-01-24 |
| 1013356955 | Carol Ann Henderson | Registered Nurse | 4545 Crain Hwy # 1050, White Plains, MD 20695-3045 | 2013-06-24 |
| 1992866875 | Carol Henderson | Dentist | 308 Main St # A, Marble Falls, TX 78654-5715 | 2006-12-13 |
| 1780036079 | Carol Henderson | Counselor | 320 High St Ne, Warren, OH 44481 | 2016-07-11 |
| 1710331822 | Carol A Henderson | Counselor | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2016-04-15 |
| 1033131867 | Carol A Henderson | Nurse Practitioner | 1855 Powder Mill Rd, York, PA 17402-4723 | 2006-07-24 |
| Street Address |
166 W LEHIGH AVE SUITE 102 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19133-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733325 | David M Barclay | Family Medicine | 166 W Lehigh Ave, #4, Philadelphia, PA 19133-3849 | 2005-10-13 |
| 1770900755 | Clinica Bienestar | Clinic/Center | 166 W Lehigh Ave, Philadelphia, PA 19133-3849 | 2014-03-27 |
| 1356647879 | Carolyn Perez | Pharmacist | 166 W Lehigh Ave, 4th Floor, Philadelphia, PA 19133-3849 | 2011-01-31 |
| 1619001286 | Hospitality House Outpatient Services | Counselor | 166 W Lehigh Ave, Suite 102, Philadelphia, PA 19133-3849 | 2007-03-15 |
| 1740343771 | Kenneth Draper | Psychiatry & Neurology | 166 W Lehigh Ave, Philadelphia, PA 19133-3849 | 2006-12-19 |
| 1417010505 | Gerard Deeney | Psychiatry & Neurology | 166 W Lehigh Ave, Philadelphia, PA 19133-3849 | 2006-12-19 |
| 1538222658 | Luis Bird | Psychiatry & Neurology | 166 W Lehigh Ave, Philadelphia, PA 19133-3849 | 2006-12-19 |
| 1316000359 | Maria T Zoratti | Psychiatry & Neurology | 166 W Lehigh Ave, Philadelphia, PA 19133-3849 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
| 1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
| 1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
| 1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
| 1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
| 1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
| 1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
| 1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
| 1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| Find all providers in zip 19133 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| 1225648140 | Action Health Centers Inc | Family Medicine | 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 | 2020-08-05 |
| 1285289876 | Visiting Doctors Inc | Family Medicine | 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 | 2019-08-09 |
| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19133 |
Please comment or provide details below to improve the information on DR. CAROL J HENDERSON.
| 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.