DR. RICHARD LYLE HENDERSON (NPI# 1437129947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437129947 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LYLE HENDERSON |
| Credential | M.D. |
| Practice Address |
380 Chase Ave Orthopedics Walla Walla WA 99362-2924 |
| Mailing Address |
Po Box 34439 Seattle WA 98124-1439 |
| Practice Telephone | 5095225820 |
| Practice Fax Number | 5095225570 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD00046369 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 240152 | 05 | |
| WA | 1437129947 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780877142 | Richard Taylor Henderson | Counselor | 9535 Sun Pointe Dr, Boynton Beach, FL 33437-3329 | 2007-08-20 |
| 1487872511 | Richard Leslie Henderson | Psychiatry & Neurology | 19660 Rimrock Ln, Apple Valley, CA 92307-1645 | 2007-04-23 |
| 1063589943 | Richard L. Henderson | Family Medicine | 555 E Tachevah Dr Ste 2e107, Palm Springs, CA 92262-5752 | 2006-11-29 |
| 1881019859 | Richard M. Henderson Jr. | Occupational Therapist | 5321 Beverly Park Cir, Knoxville, TN 37918 | 2014-02-27 |
| 1669537528 | Richard Henderson | Optometrist | 1609 N Dixie Hwy, Elizabethtown, KY 42701-6473 | 2006-12-22 |
| 1891896494 | Richard Henderson | Emergency Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2006-09-26 |
| 1144329962 | Richard C Henderson | Orthopaedic Surgery | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-09-21 |
| 1689685489 | Richard William Henderson | Obstetrics & Gynecology | 701 N Clayton St, Suite 510 Medical Office Building, Wilmington, DE 19805-3165 | 2006-08-10 |
| 1427002336 | Richard A Henderson | Internal Medicine | 9812 Slide Rd, Lubbock, TX 79424-5781 | 2006-05-22 |
| 1700855848 | Richard Robert Henderson | Dermatology | 1522 Vaughn Rd, Burlington, NC 27217 | 2006-03-14 |
| Street Address |
380 CHASE AVE ORTHOPEDICS |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235113606 | Jean L Sherman | Registered Nurse | 380 Chase Ave, Coumadin/wound Clinic, Walla Walla, WA 99362-2924 | 2005-11-30 |
| 1619459815 | Briana Maynor | Nurse Practitioner | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2018-09-04 |
| 1407340730 | Michael James Henderson | Nurse Practitioner | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2018-06-20 |
| 1326569682 | Providence Health & Services - Washington | Internal Medicine | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2017-06-27 |
| 1699205765 | Kenna E Marx | Pharmacist | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2017-06-12 |
| 1851839682 | Graycen Duffy | Nurse Practitioner | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2017-01-31 |
| 1184003295 | Joshua Wicks | Physician Assistant | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2015-05-21 |
| 1134467582 | Dalari Allington | Pharmacist | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2013-01-18 |
| 1578867842 | Lisa Maurer Must | Physician Assistant | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2010-12-30 |
| 1558599654 | John R. Stoddard | Family Medicine | 380 Chase Ave, Providence Medical Group, Walla Walla, WA 99362 | 2009-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| 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 |
|---|---|---|---|---|
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1871737411 | Providence Health & Services - Washington | Orthopaedic Surgery | 380 Chase Ave, Orthopedics, Walla Walla, WA 99362-2924 | 2009-04-27 |
| 1861604217 | Michael James Wilwand | Orthopaedic Surgery | 55 West Tietan Street, Walla Walla, WA 99362-4445 | 2007-05-05 |
| 1669486072 | Kirk Ellsworth Willard | Orthopaedic Surgery | 380 Chase Ave, Orthopaedics, Walla Walla, WA 99362-2924 | 2006-07-28 |
| 1871540955 | Scott B Hutson | Orthopaedic Surgery | 1017 S 2nd Ave, Suite 1, Walla Walla, WA 99362-4116 | 2006-05-27 |
| 1316911449 | Erik C Gryler | Orthopaedic Surgery | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418189 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 | 2020-08-19 |
| 1962968628 | Zachary Erin Schwartz | Orthopaedic Surgery | 9040 Fitzsimmons Drive- Orthopaedic Surgery, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-18 |
| 1184106262 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 | 2018-09-05 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| 1821443383 | Chelan County Public Hospital District No 2 | Orthopaedic Surgery | 505 B State, Route 20, Winthrop, WA 98862 | 2016-05-03 |
| 1609254747 | William M Fallon | Orthopaedic Surgery | 3990 Saltspring Dr, Ferndale, WA 98248-9598 | 2015-05-08 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1740600840 | Peters T. Otlans | Orthopaedic Surgery | 16259 Sylvester Rd Sw Ste 501, Burien, WA 98166-3059 | 2014-04-16 |
| 1912324559 | Floyd Sekeramayi | Orthopaedic Surgery | 630 N Fairview Dr, Tacoma, WA 98406-1015 | 2014-03-20 |
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| City | WALLA WALLA |
| Zip Code | 99362 |
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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.