HENRY GLEN HENDERSON (NPI# 1336124551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336124551 |
| Entity Type | Individual |
| Full Name | HENRY GLEN HENDERSON |
| Credential | MD |
| Practice Address |
4450 Sunset Drive San Angelo TX 76904 |
| Mailing Address |
Po Box 22000 San Angelo TX 76902-7200 |
| Practice Telephone | 3256581511 |
| Mailing Telephone | 3256581511 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2012-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G4359 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 134493903 | 05 |
| Street Address |
4450 SUNSET DRIVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635066 | Stephen W Coates | Internal Medicine | 4450 Sunset Drive, San Angelo, TX 76904 | 2005-11-09 |
| 1457388589 | Stacy Gerald Beaty | Orthopaedic Surgery | 4450 Sunset Drive, San Angelo, TX 76901-5611 | 2006-06-26 |
| 1942259734 | Patricia L. Battilega-merrill | Physician Assistant | 4450 Sunset Drive, San Angelo, TX 76901 | 2006-05-09 |
| 1215986252 | Douglas T Holle | Optometrist | 4450 Sunset Drive, San Angelo, TX 76901 | 2006-05-08 |
| 1073598926 | Thomas T Reid | Orthopaedic Surgery | 4450 Sunset Drive, San Angelo, TX 76904 | 2005-12-14 |
| 1477538502 | Leslie K Williamson | Otolaryngology | 4450 Sunset Drive, San Angelo, TX 76904 | 2005-12-13 |
| 1811972946 | David M Huchton | Otolaryngology | 4450 Sunset Drive, San Angelo, TX 76904 | 2005-12-13 |
| 1841275054 | Paul J Foxcroft | Orthopaedic Surgery | 4450 Sunset Drive, San Angelo, TX 76904 | 2005-12-09 |
| 1356326599 | Daniel M Wilson | Ophthalmology | 4450 Sunset Drive, San Angelo, TX 76904 | 2005-12-09 |
| 1942284419 | Kenton H Fish | Ophthalmology | 4450 Sunset Drive, San Angelo, TX 76904 | 2005-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396889887 | James Randall Mull | Orthopaedic Surgery | 3150 Appaloosa Cir, San Angelo, TX 76901-5225 | 2007-02-16 |
| 1679624555 | Jason M Defee, Md, Pa | Orthopaedic Surgery | 3814 Sherwood Way, San Angelo, TX 76901-3539 | 2007-01-16 |
| 1982700795 | San Angelo Summit Orthopedics Inc | Orthopaedic Surgery | 3150 Appaloosa Circle, San Angelo, TX 76901 | 2006-09-16 |
| 1447310073 | Joseph J Zubak | Orthopaedic Surgery | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2006-12-12 |
| 1851486096 | Vernon L Ryan | Orthopaedic Surgery | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2006-10-04 |
| 1972619781 | Caleb Vosburg | Orthopaedic Surgery | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2006-08-22 |
| 1457388589 | Stacy Gerald Beaty | Orthopaedic Surgery | 4450 Sunset Drive, San Angelo, TX 76901-5611 | 2006-06-26 |
| 1003874033 | Joe B Wilkinson | Orthopaedic Surgery | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2006-05-01 |
| 1023078268 | Arthur Price Burdine | Orthopaedic Surgery | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2006-03-23 |
| 1558330159 | Robert W Alexander | Orthopaedic Surgery | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2006-03-16 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.