DR. MICHAEL DWAYNE HENDERSON (NPI# 1518166354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518166354 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DWAYNE HENDERSON |
| Credential | M.D. |
| Practice Address |
1900 Scenic Dr Suite 3308 Georgetown TX 78626-7724 |
| Mailing Address |
2 Saint Marks Pl Ste 160 La Grange TX 78945-1253 |
| Practice Telephone | 5128692566 |
| Practice Fax Number | 5128697434 |
| Mailing Telephone | 9792425677 |
| Mailing Fax Number | 9792425680 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Q9636 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972858165 | Michael Henderson | Behavioral Analyst | 251 Tanglewood Dr, Southern Pines, NC 28387-4323 | 2012-07-13 |
| 1205158615 | Michael S Henderson | Pharmacist | 4501 66th St N, Kenneth City, FL 33709-4923 | 2010-02-26 |
| 1366501231 | Michael Daniel Henderson | Technician/Technologist | 10365 S E Hwy 441, Belleview, FL 34420 | 2006-12-07 |
| 1780759340 | Michael Larry Henderson | Counselor | 1650 Mission St Ste 218, San Francisco, CA 94103-2414 | 2006-11-21 |
| 1730262262 | Michael Steven Henderson | Dentist | 39833 Traditions Dr, Northville, MI 48168-9498 | 2006-10-20 |
| 1659465193 | Michael Toledo Henderson | Marriage & Family Therapist | 6518 Lonetree Blvd, Suite 172, Rocklin, CA 95765-5874 | 2006-10-02 |
| 1770698565 | Michael James Henderson | Social Worker | 433 Main, Suite 4b, Kalispell, MT 59901 | 2006-08-20 |
| 1033180914 | Michael Lee Henderson Jr. | Pharmacist | 221 W Heron St, Aberdeen, WA 98520 | 2006-01-30 |
| 1265423594 | Michael G Henderson | Physician Assistant | 165 W Commerce Dr, Belle Plaine, MN 56011-2911 | 2005-11-04 |
| 1144219585 | Michael David Henderson | Internal Medicine | 2360 1st St, Napa, CA 94559-2239 | 2005-10-18 |
| Street Address |
1900 SCENIC DR SUITE 3308 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-7724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600995 | David Ward Martin | Surgery | 1900 Scenic Dr, Ste 2208, Georgetown, TX 78626-7724 | 2005-06-23 |
| 1407307051 | Hill Country Ct Surgery Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1900 Scenic Dr, Suite 2220, Georgetown, TX 78626-7703 | 2016-10-19 |
| 1205246220 | Peregrine Ventures, LLC | Neurological Surgery | 1900 Scenic Dr, Suite 2222, Georgetown, TX 78626-7724 | 2014-04-29 |
| 1285076026 | Jana Jones Schrier, Md | Obstetrics & Gynecology | 1900 Scenic Dr, Suite 2214, Georgetown, TX 78626-7724 | 2013-07-22 |
| 1972866200 | Lone Star Circle of Care | Clinic/Center | 1900 Scenic Dr, Suite 3326, Georgetown, TX 78626-7724 | 2012-06-21 |
| 1194008375 | Crystal Kelly | Obstetrics & Gynecology | 1900 Scenic Dr, 3326, Georgetown, TX 78626-7724 | 2011-09-23 |
| 1164617627 | Kristy D. Heatly, D.o., P.a. | Family Medicine | 1900 Scenic Dr, Suite 1128, Georgetown, TX 78626-7724 | 2007-09-07 |
| 1437344983 | Florence C. Spitler, D.o., P.a. | Family Medicine | 1900 Scenic Dr, Suite 1128, Georgetown, TX 78626-7724 | 2007-09-07 |
| 1477673804 | Steven Don Mickelson | Physician Assistant | 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7724 | 2007-03-30 |
| 1033221486 | Mark Lee Jayawant | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1900 Scenic Dr, Georgetown, TX 78626-7724 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1922256353 | Texas Cardiovascular Consultants, Pa | Internal Medicine | 2114 Scenic Dr, Georgetown, TX 78626-7728 | 2008-08-27 |
| 1568592467 | Michael F Wright | Internal Medicine | 1990 County Road 127, Georgetown, TX 78626-2485 | 2007-03-07 |
| 1023164340 | Gene F Conway | Internal Medicine | 315 E State St, Georgetown, OH 45121-1416 | 2007-01-27 |
| 1710096839 | Ali Ghasemzadeh | Internal Medicine | 5062 State Route 125, Georgetown, OH 45121-9561 | 2006-08-30 |
| 1679902340 | Kentucky Mso, LLC | Internal Medicine | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2013-11-04 |
| 1093051807 | Kentucky Mso LLC | Internal Medicine | 1154 Lexington Rd, Georgetown, KY 40324-9330 | 2012-12-26 |
| 1720257983 | Inlet Cardiopulmonary & Associates | Internal Medicine | 1011 N Fraser St, Georgetown, SC 29440-2848 | 2008-02-21 |
| 1174700306 | Ag Cardiology, Inc | Internal Medicine | 5062 State Route 125, Georgetown, OH 45121-9561 | 2008-01-30 |
| 1194717538 | Stephen H Garland | Internal Medicine | 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7703 | 2005-08-22 |
| 1063413060 | Robert F Denyer | Internal Medicine | 1900 Scenic Dr, Ste 3308, Georgetown, TX 78626-7703 | 2005-08-02 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
Please comment or provide details below to improve the information on DR. MICHAEL DWAYNE HENDERSON.
| 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.