MICHAEL G HENDERSON (NPI# 1265423594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265423594 |
| Entity Type | Individual |
| Full Name | MICHAEL G HENDERSON |
| Credential | PA-C |
| Practice Address |
165 W Commerce Dr Belle Plaine MN 56011-2911 |
| Mailing Address |
500 S Maple St Waconia MN 55387-1791 |
| Practice Telephone | 9527775661 |
| Mailing Telephone | 9524422191 |
| Mailing Fax Number | 9524428055 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 288380-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972858165 | Michael Henderson | Behavioral Analyst | 251 Tanglewood Dr, Southern Pines, NC 28387-4323 | 2012-07-13 |
| 1205158615 | Michael S Henderson | Pharmacist | 4501 66th St N, Kenneth City, FL 33709-4923 | 2010-02-26 |
| 1366501231 | Michael Daniel Henderson | Technician/Technologist | 10365 S E Hwy 441, Belleview, FL 34420 | 2006-12-07 |
| 1780759340 | Michael Larry Henderson | Counselor | 1650 Mission St Ste 218, San Francisco, CA 94103-2414 | 2006-11-21 |
| 1730262262 | Michael Steven Henderson | Dentist | 39833 Traditions Dr, Northville, MI 48168-9498 | 2006-10-20 |
| 1659465193 | Michael Toledo Henderson | Marriage & Family Therapist | 6518 Lonetree Blvd, Suite 172, Rocklin, CA 95765-5874 | 2006-10-02 |
| 1770698565 | Michael James Henderson | Social Worker | 433 Main, Suite 4b, Kalispell, MT 59901 | 2006-08-20 |
| 1033180914 | Michael Lee Henderson Jr. | Pharmacist | 221 W Heron St, Aberdeen, WA 98520 | 2006-01-30 |
| 1144219585 | Michael David Henderson | Internal Medicine | 2360 1st St, Napa, CA 94559-2239 | 2005-10-18 |
| 1407340730 | Michael James Henderson | Nurse Practitioner | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2018-06-20 |
| Street Address |
165 W COMMERCE DR |
| City | BELLE PLAINE |
| State | MN |
| Zip Code | 56011-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316923105 | Alvaro H Sanchez | Internal Medicine | 165 W Commerce Dr, Belle Plaine, MN 56011-2911 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456082 | Sarah Diane White | Registered Nurse | 26138 Hwy 25, Apt B, Belle Plaine, MN 56011 | 2018-11-16 |
| 1568903532 | First Choice Pharmacy of Jordan PC | Pharmacy | 165 West Commerce Drive, Suite 110, Belle Plaine, MN 56011 | 2017-03-10 |
| 1033408075 | Midwest Independent Living Services, LLC | Home Health | 809 East Main Street, Suite 1, Belle Plaine, MN 56011 | 2011-03-30 |
| 1386794923 | Roger B Hallgren | Family Medicine | 700 W Prairie St, Belle Plaine, MN 56011-1000 | 2007-01-12 |
| 1003126707 | Nicole Irene Ellingson Williams | Registered Nurse | 700 W Prairie St, Belle Plaine, MN 56011-1000 | 2010-10-14 |
| 1598815144 | Meng F Lim | Family Medicine | 700 W Prairie St, Belle Plaine, MN 56011-1000 | 2007-01-12 |
| 1699825257 | Janice M Seys | Nurse Practitioner | 700 W Prairie St, Belle Plaine, MN 56011-1000 | 2007-01-12 |
| 1114413283 | Eleanor Kalgren | Speech-Language Pathologist | 611 W Main St, Belle Plaine, MN 56011-1221 | 2018-07-02 |
| 1982069191 | Meghan Kuznia | Speech-Language Pathologist | 611 W Main St, Belle Plaine, MN 56011-1221 | 2015-12-15 |
| 1295981405 | Kathleen Jeanne Fernandez | Physical Therapy Assistant | 611 W Main St, Belle Plaine, MN 56011-1221 | 2008-08-07 |
| Find all providers in zip 56011 | ||||
| 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 |
|---|---|---|---|---|
| 1063411189 | Robert A Witt | Physician Assistant | 105 9th Ave, Belle Plaine, IA 52208-2200 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | BELLE PLAINE |
| Zip Code | 56011 |
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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.