JEFFREY LYNN HENDERSON (NPI# 1528026978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528026978 |
| Entity Type | Individual |
| Full Name | JEFFREY LYNN HENDERSON |
| Credential | MD |
| Practice Address |
390 N Main St Bountiful UT 84010-6046 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8012926100 |
| Mailing Telephone | 8012926100 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 8294005-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | M4145 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8V1546 | 01 |
| TX | CSHCN | 181360202 | 01 |
| TX | 181360201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942465026 | Jeffrey Thomas Henderson | Pathology | 1300 N 12th St Ste 300, Phoenix, AZ 85006-2813 | 2008-07-28 |
| 1194860171 | Jeffrey Henderson | Physical Therapist | 107 Pinkerton Dr, Beaver, PA 15009-1213 | 2007-02-20 |
| 1598856049 | Jeffrey A. Henderson | Internal Medicine | 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2006-09-28 |
| 1912988007 | Jeffrey Mark Henderson | Pediatrics | 430 W Bandera Rd Ste 9, Boerne, TX 78006-2521 | 2005-11-07 |
| 1578111258 | Jeffrey Lee Henderson Jr. | Pharmacist | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-08-27 |
| 1164994638 | Jeffrey N Henderson | Peer Specialist | 149 W 12th Ave, Eugene, OR 97401-3408 | 2018-12-21 |
| 1326315185 | Jeffrey Coleman Henderson | Case Manager/Care Coordinator | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2011-11-22 |
| 1235386848 | Jeffrey Harris Henderson | Family Medicine | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2008-08-26 |
| 1821173899 | Jeffrey Scott Henderson | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2006-10-26 |
| 1649354572 | Jeffrey W Henderson | Internal Medicine | 200 Center Street, Ludlow, MA 01056 | 2006-10-25 |
| Street Address |
390 N MAIN ST |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407322779 | Mary E Mcmillan | Physician Assistant | 390 N Main St, Bountiful, UT 84010-6046 | 2018-10-15 |
| 1801242391 | Benjamin Brown | Family Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2016-05-13 |
| 1124400692 | Ashley Curtis | Family Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2015-06-22 |
| 1649659707 | Ihc Health Services Inc | Family Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2015-05-22 |
| 1790188829 | Hailey Poppe | Physician Assistant | 390 N Main St, Bountiful, UT 84010-6046 | 2014-10-03 |
| 1194158964 | Karin Marie Asplund Lammert | Pediatrics | 390 N Main St, Bountiful, UT 84010-6046 | 2013-08-15 |
| 1740522275 | Alex Benjamin Fox | Family Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2013-03-22 |
| 1891061594 | Jeffery M Sabey | Pediatrics | 390 N Main St, Bountiful, UT 84010 | 2012-03-27 |
| 1457646952 | Michael Charles Rognon | Pharmacist | 390 N Main St, Bountiful, UT 84010 | 2011-06-13 |
| 1861717837 | Tyler Joseph Bickel | Internal Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2010-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003287970 | Marlene Hyndman | Emergency Medicine | 3024 S 600 W, Bountiful, UT 84010-8204 | 2015-10-16 |
| 1134411341 | Michel Maroun Barakat | Emergency Medicine | 3837 Huntington Dr, Bountiful, UT 84010-5842 | 2011-05-05 |
| 1568423564 | Brett Earl | Emergency Medicine | 458 N 500 W, Bountiful, UT 84010-6948 | 2006-03-29 |
| 1952720633 | Alex G. Drake | Emergency Medicine | 630 Medical Dr, Bountiful, UT 84010-4908 | 2014-04-10 |
| 1689709875 | Ihc Health Services Inc | Emergency Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2007-02-21 |
| 1427071265 | Bessann Dawson | Emergency Medicine | 280 N Main St, Bountiful, UT 84010-6136 | 2006-07-25 |
| 1114940954 | Catherine E Burton | Emergency Medicine | 280 N Main St, Bountiful, UT 84010-6136 | 2006-07-25 |
| 1982666574 | Jennifer Ross | Emergency Medicine | 520 Medical Dr, Ste #110, Bountiful, UT 84010-4968 | 2006-04-06 |
| 1730158957 | Mark G. Flammer | Emergency Medicine | 520 Medical Dr, Ste 110, Bountiful, UT 84010-4968 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414216 | True North Health Navigation LLC | Emergency Medicine | 136 E South Temple Ste 1400, Salt Lake City, UT 84111-1143 | 2020-03-30 |
| 1609377589 | David A. Burton | Emergency Medicine | 1040 S Oak Hills Way, Salt Lake City, UT 84108-2024 | 2018-02-26 |
| 1184131922 | Wally Lee | Emergency Medicine | 3539 E Brighton Point Dr, Salt Lake City, UT 84121-5510 | 2018-01-02 |
| 1295240026 | Allison Mcphee | Emergency Medicine | 1021 E 3300 S, Salt Lake City, UT 84106-2142 | 2017-12-01 |
| 1104351592 | David Crockett | Emergency Medicine | University of Utah School of Medicine 30 N 1900 E 1c026, Salt Lake City, UT 84132-2147 | 2017-04-24 |
| 1912384637 | Kyle Earl Nielsen | Emergency Medicine | 2292 N 1430 E, Provo, UT 84604 | 2015-05-01 |
| 1699152538 | Jinghui Li | Emergency Medicine | 2675 W Taylorsville Blvd, Taylorsville, UT 84129-2208 | 2015-04-29 |
| 1699160598 | Sean Damian Slack | Emergency Medicine | Division of Emergency Medicine School Of, 30 N 1900 E 1c026, Salt Lake City, UT 84132-0001 | 2015-03-30 |
| 1801201496 | Dwight Burdick | Emergency Medicine | 2665 E 2100 S, Salt Lake City, UT 84109-1372 | 2014-06-23 |
| 1215340146 | Nathan Kartchner | Emergency Medicine | 38 W Sunset Dr, Cedar City, UT 84720-3545 | 2014-06-09 |
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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.