RAVEN HENDERSON (NPI# 1437415726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437415726 |
| Entity Type | Individual |
| Full Name | RAVEN HENDERSON |
| Credential | M.D. |
| Practice Address |
4128 Doolittle Dr Lawrence KS 66049-4117 |
| Mailing Address |
1431 East Main St Reklaw TX 75784 |
| Practice Telephone | 3477468779 |
| Mailing Telephone | 3477468779 |
| Mailing Fax Number | 2677505201 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 04-40363 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
4128 DOOLITTLE DR |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66049-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
| 1497382204 | Limestone Eye Care LLC | Optometrist | 4320 W 6th Street, Suite 103, Lawrence, KS 66049 | 2020-03-24 |
| 1053840405 | Garrett Greaves | Physical Therapist | 100 Rock Chalk Lane, Suite 100, Lawrence, KS 66049 | 2017-06-08 |
| 1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
| 1992163273 | Katherine Kershner | Physical Therapy Assistant | 11311 Wakarusa Dr Ste 1000, Lawrence, KS 66049 | 2016-02-02 |
| 1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
| 1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
| 1881975563 | Vicki Annette Condra-williams | Counselor | 1123 Stone Meadows Drive, Lawrence, KS 66049 | 2011-09-08 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1164739173 | Laura Elizabeth Reischman | Physical Therapy Assistant | 1305 Wakarusa Drive, Lawrence, KS 66049 | 2010-09-13 |
| Find all providers in zip 66049 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366657199 | Joseph Allen Wolf | Plastic Surgery | 91 Merrall Dr, Lawrence, NY 11559-1518 | 2007-05-14 |
| 1578556726 | John W Keller | Plastic Surgery | 1130 W 4th St Ste 3202, Lawrence, KS 66044-1328 | 2005-08-23 |
| 1467878181 | Keller Plastic Surgery LLC | Plastic Surgery | 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 | 2014-03-06 |
| 1194934679 | Marcel Scheinman Md PC | Plastic Surgery | 135 Rockaway Tpke, Suite 108, Lawrence, NY 11559-1023 | 2007-05-22 |
| 1093865362 | Lawrence Plastic Surgery, P.a. | Plastic Surgery | 1112 W 6th St, Suite 210, Lawrence, KS 66044-2215 | 2007-01-11 |
| 1083607378 | Scott T Thellman | Plastic Surgery | 1112 W 6th St, Suite 210, Lawrence, KS 66044-2215 | 2005-08-23 |
| 1972504587 | Marcel Scheinman | Plastic Surgery | 135 Rockaway Tpke, Suite 108, Lawrence, NY 11559-1023 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1548899180 | Megan Angermayer | Plastic Surgery | 6800 W 201st Ter, Bucyrus, KS 66013-9630 | 2020-04-06 |
| 1649818014 | Abbey Marie Bays | Plastic Surgery | 12330 Metcalf Ave Ste 500, Overland Park, KS 66213-1311 | 2019-12-17 |
| 1801260096 | Gerald Dale Nelson | Plastic Surgery | 9403 Cross Creek St (retired), Wichita, KS 67206-4086 | 2015-11-25 |
| 1497072037 | David Stephen Zamierowski | Plastic Surgery | 13203 Lamar Ave, Overland Park, KS 66209-3803 | 2010-04-21 |
| 1356509285 | Meredith S. Collins | Plastic Surgery | 4000 Cambridge St # Ms 3015, Kansas City, KS 66160-8501 | 2008-05-28 |
| 1932294188 | Barbara Anne Mcgrath | Plastic Surgery | 7509 Nall Ave, Shawnee Mission, KS 66208-4762 | 2006-10-04 |
| 1639278666 | Jeffrey W Colyer | Plastic Surgery | 4940b W. 137th St, Leawood, KS 66224 | 2006-09-22 |
| 1457459364 | James M Shaw | Plastic Surgery | 3595 N Webb Rd, Wichita, KS 67226-8168 | 2006-09-21 |
| 1356447825 | Plastic Surgery Center, P.a. | Plastic Surgery | 1861 N Webb Rd, Wichita, KS 67206-3413 | 2006-09-15 |
| Find all providers with the same taxonomy | ||||
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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.