TONYA HENDERSON (NPI# 1487814745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487814745 |
| Entity Type | Individual |
| Full Name | TONYA HENDERSON |
| Practice Address |
301 Fisher St Biloxi MS 39534-2508 |
| Mailing Address |
301 Fisher Street Biloxi MS 39564 |
| Practice Telephone | 2283760433 |
| Practice Fax Number | 2283760172 |
| Mailing Telephone | 2283760433 |
| Mailing Fax Number | 2283760172 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 21138 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 13th St, Gulfport, MS 395012515 | 2288675201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841556990 | Tonya Ellen Henderson | Massage Therapist | 916 E Westfield Blvd, Indianapolis, IN 46220-1794 | 2012-04-03 |
| 1821060815 | Tonya Henderson | Pharmacist | 26317 W. Washington St, Hiram Davis Medical Center Pharmacy, Petersburg, VA 23803-0030 | 2006-02-03 |
| Street Address |
301 FISHER ST |
| City | BILOXI |
| State | MS |
| Zip Code | 39534-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099913 | Enrique I Padron | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-10-01 |
| 1891307096 | Allison Kathleen Rita Hauge | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1417569625 | Ryan Woolfe | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1457963027 | Crystal Lee Cowan | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-17 |
| 1811505910 | Michael Andes | Dentist | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-07-15 |
| 1275155301 | Emily Kathryn Doe | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-12 |
| 1578185955 | Sean Lan | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-08 |
| 1427679109 | Nicholas William D'amico | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-04 |
| 1487283701 | Jeremy Alan Meldrum | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-04-07 |
| 1881229623 | Jesse Recarte | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164573515 | Keith G Goodfellow | Obstetrics & Gynecology | 147 Reynoir St Ste 105, Biloxi, MS 39530 | 2007-01-14 |
| 1427062884 | Hebe Arroyo Diaz | Obstetrics & Gynecology | 1720a Medical Park Drive, Suite 130c, Biloxi, MS 39532 | 2006-07-28 |
| 1013947951 | Kathryn Mcclure, Md, P.l.l.c. | Obstetrics & Gynecology | 1720a Medical Park Dr Ste 130a, Biloxi, MS 39532-2122 | 2006-07-04 |
| 1720025968 | Shahira Hanna | Obstetrics & Gynecology | 2781 C T Switzer Sr Drive, Ste 302, Biloxi, MS 39531-4535 | 2006-05-31 |
| 1598008989 | Katherine Malczewski | Obstetrics & Gynecology | 301 Fisher St, Biloxi, MS 39534-2508 | 2013-04-03 |
| 1609129808 | Donna E Alexander Md Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 1721 Medical Park Dr, Suite 100, Biloxi, MS 39532-2109 | 2012-10-25 |
| 1730435439 | Biloxi Hma Physician Management, LLC | Obstetrics & Gynecology | 147 Reynoir St, Suite 203, Biloxi, MS 39530-4109 | 2012-07-31 |
| 1114180528 | Joy E Wheat | Obstetrics & Gynecology | 301 Fisher St, Keesler Afb Women's Health Clinic, Biloxi, MS 39534-2508 | 2008-07-07 |
| 1124206784 | The Diaz Clinic, Pllc | Obstetrics & Gynecology | 1720a Medical Park Dr, Suite 130, Biloxi, MS 39532-2129 | 2008-02-06 |
| 1114127222 | Courtney Elizabeth Meredith | Obstetrics & Gynecology | 147 Reynoir St, Suite 105, Biloxi, MS 39530-4109 | 2007-07-18 |
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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.