DR. SIDNEY E HENDERSON III (NPI# 1437188935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437188935 |
| Entity Type | Individual |
| Full Name | DR. SIDNEY E HENDERSON III |
| Credential | M.D. |
| Practice Address |
1501 Ne Medical Center Dr Bend OR 97701-6051 |
| Practice Telephone | 5413822811 |
| Mailing Telephone | 5413822811 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2013-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD11619 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD11619 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RAILROAD | 00743535 | 01 |
| OR | 024773 | 05 |
| Street Address |
1501 NE MEDICAL CENTER DR |
| City | BEND |
| State | OR |
| Zip Code | 97701-6051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455386 | William Gert Schmidt Jr. | Internal Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2005-05-24 |
| 1871194340 | Jayna Rupley | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2020-11-02 |
| 1649882671 | David Gregory Downing | Psychologist | 1501 Ne Medical Center Dr, Bend, OR 97701-6099 | 2020-08-20 |
| 1972144913 | Bend Memorial Clinic PC | Clinical Medical Laboratory | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2019-10-01 |
| 1720547060 | Meredith Anne Helfrich | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6099 | 2019-03-17 |
| 1659813392 | Medford Radiological Group PC | Radiology | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2016-11-11 |
| 1578921003 | Elysia Churchman | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2016-01-28 |
| 1457748196 | Timothy M Preston | Hospitalist | 1501 Ne Medical Center Dr, Bend, OR 97701 | 2015-04-21 |
| 1285025478 | Andrew O Jensen | Dermatology | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2015-02-10 |
| 1518379080 | Devon Hutton | Family Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2014-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184609778 | Ellen Golodner | Internal Medicine | 61425 Davis Lake Loop, Bend, OR 97702-1955 | 2005-12-07 |
| 1154684504 | Courtney Nicole Walker | Internal Medicine | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2012-06-20 |
| 1235454091 | Alison Elizabeth Freeman | Internal Medicine | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2010-04-05 |
| 1265652531 | Laurel Hickok Hartwell | Internal Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2007-04-27 |
| 1194700294 | James J. Stragand | Internal Medicine | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2005-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003175464 | Arnab Mitra | Internal Medicine | 3181 Sw Sam Jackson Park Road, L461, Oregon Health and Science University, Portland, OR 97239-3098 | 2012-05-04 |
| 1871822767 | Centennial Medical Group, Inc. | Internal Medicine | 3369 Ne Stephens St Ste A, Roseburg, OR 97470-1259 | 2009-12-23 |
| 1265668263 | Davis L Sim | Internal Medicine | 3355 Riverbend Dr 500, Springfield, OR 97477 | 2009-06-04 |
| 1508001074 | J Scott Gibson Md PC | Internal Medicine | 851 Ne Baker St Ste 3, Mcminnville, OR 97128-4991 | 2008-12-11 |
| 1154584241 | Dana N Hemmati | Internal Medicine | 10000 Se Main St Ste 112, Portland, OR 97216-2441 | 2008-07-08 |
| 1316122708 | Gerald Engstrom | Internal Medicine | 1813 W Harvard Ave Ste 427, Roseburg, OR 97470-8712 | 2008-01-03 |
| 1225224074 | Hester Hiu Ming Choi | Internal Medicine | 3926 Shasta View St, Eugene, OR 97405-5868 | 2007-09-14 |
| 1750587945 | Charles Clark Gabbert II | Internal Medicine | 1111 Ne 99th Ave Ste 301, Portland, OR 97220-9442 | 2007-06-25 |
| 1457556086 | Marc Karl Binder | Internal Medicine | 1125 Nw 9th Ave, #431, Portland, OR 97209-2864 | 2007-06-14 |
| 1588794135 | Chad Aaron Morse | Internal Medicine | 3521 Nw Samaritan Dr Ste 101, Corvallis, OR 97330-4744 | 2007-03-06 |
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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.