DR. JEFFREY HARRIS HENDERSON


Address: 170 Kimel Park Dr, Winston Salem, NC 27103-6946
Phone: 7043232000

DR. JEFFREY HARRIS HENDERSON (NPI# 1235386848) 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) 1235386848
Entity Type Individual
Full Name DR. JEFFREY HARRIS HENDERSON
Credential M.D.
Practice Address 170 Kimel Park Dr
Winston Salem
NC 27103-6946
Mailing Address 4601 Park Rd
Suite 250
Charlotte
NC 28209-3239
Practice Telephone 7043232000
Mailing Telephone (704) 323-2000
Enumeration Date 2008-08-26
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 2011-00070 NC Allopathic & Osteopathic Physicians
N 207QS0010X Family Medicine
Specialization: Sports Medicine
2011-00070 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 1497704217 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
445 Pineview Dr, Suite 220, Kernersville, NC 272843817 7043232000

Other Providers JEFFREY HENDERSON

NPI Name Taxonomy Address Enumeration
1942465026 Jeffrey Thomas Henderson Pathology 1300 N 12th St Ste 300, Phoenix, AZ 85006-2813 2008-07-28
1194860171 Jeffrey Henderson Physical Therapist 107 Pinkerton Dr, Beaver, PA 15009-1213 2007-02-20
1598856049 Jeffrey A. Henderson Internal Medicine 3200 Canyon Lake Drive, Rapid City, SD 57702 2006-09-28
1528026978 Jeffrey Lynn Henderson Emergency Medicine 390 N Main St, Bountiful, UT 84010-6046 2006-05-03
1912988007 Jeffrey Mark Henderson Pediatrics 430 W Bandera Rd Ste 9, Boerne, TX 78006-2521 2005-11-07
1578111258 Jeffrey Lee Henderson Jr. Pharmacist 300 W 19th Ter, Kansas City, MO 64108-2026 2019-08-27
1164994638 Jeffrey N Henderson Peer Specialist 149 W 12th Ave, Eugene, OR 97401-3408 2018-12-21
1326315185 Jeffrey Coleman Henderson Case Manager/Care Coordinator 5050 Madison Rd, Cincinnati, OH 45227-1491 2011-11-22
1821173899 Jeffrey Scott Henderson Social Worker 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2006-10-26
1649354572 Jeffrey W Henderson Internal Medicine 200 Center Street, Ludlow, MA 01056 2006-10-25

Office Location

Street Address 170 KIMEL PARK DR
City WINSTON SALEM
State NC
Zip Code 27103-6946

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306849047 William Bryan Jennings Orthopaedic Surgery 170 Kimel Park Dr, Winston Salem, NC 27103 2005-05-26
1699388868 Michael Anthony Walters Jr. Specialist/Technologist 170 Kimel Park Dr, Winston Salem, NC 27103-6946 2020-08-28
1548884992 Ryan Dula Occupational Therapist 170 Kimel Park Dr, Winston Salem, NC 27103-6946 2020-06-02
1154957983 Jennifer Baity Hill Physical Therapist 170 Kimel Park Dr, Winston Salem, NC 27103-6946 2020-03-12
1053879502 Dylan Thomas Plocki Physician Assistant 170 Kimel Park Dr, Winston Salem, NC 27103-6946 2019-03-04
1669939526 Katherine A Tully Physical Therapist 170 Kimel Park Dr, Winston Salem, NC 27103-6946 2019-02-27
1073007373 Ann Steber Occupational Therapist 170 Kimel Park Dr, Winston Salem, NC 27103 2018-06-20
1336633106 Mark Stephen Phillips Physician Assistant 170 Kimel Park Dr, Winston Salem, NC 27103 2018-06-15
1730676081 Michael Edward Arcuri Physician Assistant 170 Kimel Park Dr, Winston Salem, NC 27103 2018-04-21
1205341419 Katlyn Marie Joyner Physician Assistant 170 Kimel Park Dr, Winston Salem, NC 27103-6946 2017-12-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962048512 Novant Medical Group, Inc Family Medicine 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 2019-11-19
1669026456 Brandon Chase Barnette Family Medicine 1825 Denise Ln, Winston Salem, NC 27127-8850 2019-07-30
1649747999 Darryl Landis Family Medicine 480 Stonegate Ln, Winston Salem, NC 27104-1825 2018-10-25
1063918670 Cms Med Health and Wellness Pllc Family Medicine 3878 Oxford Station Way, Winston Salem, NC 27103-1340 2018-04-03
1083069082 Michael Merz Family Medicine Wake Forest Family Medicine Residency, Medical Center Boulevard, Winston Salem, NC 27157-0001 2016-04-27
1225475023 Novant Medical Group Inc Family Medicine 10479 N Nc Highway 109, 107a, Winston Salem, NC 27107-9643 2013-06-03
1598028987 Urgent Cares of America North Carolina Inc. Family Medicine 310 S Stratford Rd, Winston Salem, NC 27103-1820 2012-06-20
1518224617 Daniel Lewis Myers Family Medicine 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107-9884 2012-04-13
1982989828 Urgent Cares of America North Carolina Inc Family Medicine 4937 Old Country Club Rd., Winston Salem, NC 27104-5068 2011-10-11
1558657403 Laura Bartels Torres Family Medicine 50 Miller St Ste G, Winston Salem, NC 27104 2011-06-20
Find all providers in WINSTON SALEM

Competitor

Search similar providers

City WINSTON SALEM
Zip Code 27103

Improve Information

Please comment or provide details below to improve the information on DR. JEFFREY HARRIS HENDERSON.

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.

Trending Searches