DR. MIQUIA SHERREE HENDERSON (NPI# 1457871394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457871394 |
| Entity Type | Individual |
| Full Name | DR. MIQUIA SHERREE HENDERSON |
| Credential | MD |
| Practice Address |
2810 Frank Scott Pkwy W Ste 828 Belleville IL 62223-5007 |
| Practice Telephone | 6182366336 |
| Practice Fax Number | 6182369582 |
| Mailing Telephone | 6182366336 |
| Mailing Fax Number | 6182369582 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036.152820 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2810 FRANK SCOTT PKWY W STE 828 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063597441 | Gloria N Okoh | Pediatrics | 163 Belleville Ave, Belleville, NJ 07109-2437 | 2006-10-26 |
| 1285741165 | Childrens Medical Associates,ltd. | Pediatrics | 4550 Memorial Dr Ste 260, Belleville, IL 62226-5359 | 2006-08-24 |
| 1851318489 | Stacie Laff | Pediatrics | 4600 Memorial Dr Ste 280, Belleville, IL 62226-5363 | 2006-07-17 |
| 1023431871 | Prospect Pediatrics Pa | Pediatrics | 163 Belleville Ave, Belleville, NJ 07109-2437 | 2014-01-30 |
| 1861830358 | Sanna Margareta Sundquist | Pediatrics | 2900 Frank Scott Pkwy W, #950, Belleville, IL 62223-5000 | 2013-06-06 |
| 1053675561 | Lindsey Krumholz | Pediatrics | 4600 Memorial Dr, Suite 280, Belleville, IL 62226-5368 | 2012-06-28 |
| 1699066985 | Southern Illinois Healthcare Foundation, Inc. | Pediatrics | 2810 Frank Scott Pkwy W, Belleville, IL 62223-5007 | 2011-04-21 |
| 1992095723 | Sarah Price | Pediatrics | 4600 Memorial Dr, Belleville, IL 62226-5368 | 2011-04-13 |
| 1467698092 | Qin Wang | Pediatrics | 1 Clara Maass Dr, Belleville, NJ 07109 | 2009-01-03 |
| 1760648802 | Morgan Fahey-vornberg | Pediatrics | 2900 Frank Scott Pkwy W, #950, Belleville, IL 62223-5000 | 2008-07-29 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
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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.