MR. GEORGE J HENDERON


Address: 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612
Phone: 9198517385

MR. GEORGE J HENDERON (NPI# 1538714068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538714068
Entity Type Individual
Full Name MR. GEORGE J HENDERON
Credential CPO
Practice Address 5313 Duraleigh Road
Ste 151
Raleigh
NC 27612
Mailing Address 2534 Empire Dr
Winston Salem
NC 27103-6710
Practice Telephone 9198517385
Practice Fax Number 9198517387
Mailing Telephone 3363972165
Mailing Fax Number 3363972167
Enumeration Date 2019-08-01
Last Update Date 2019-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Z00000X Orthotist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 5313 DURALEIGH ROAD
STE 151
City RALEIGH
State NC
Zip Code 27612

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1376052431 Amanda Steed Speech-Language Pathologist 5519 Hamstead Crossing, Raleigh, NC 27612 2017-09-21
1295250991 Neal H. Patel Dds Pllc Dentist 7211 Shellburne Dr, Raleigh, NC 27612 2017-08-03
1811426109 Marquita Randolph-breeden Behavior Technician 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 2017-06-08
1336518554 Travis Edward Williams Counselor 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 2015-09-17
1831587476 Harris Teeter LLC Pharmacy 2051 W Millbrook Road, Raleigh, NC 27612 2015-01-06
1780072975 Harris Teeter LLC Pharmacy 2051 W. Millbrook Road, Raleigh, NC 27612 2014-12-23
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Taxonomy Information

Taxonomy Code 222Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790346559 Alexander Hedquist Orthotist 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 2019-06-24
1336586080 Charles Steven Woolfe Orthotist 3410 Executive Dr Ste 203, Medical Office Building 1, Raleigh, NC 27609-7400 2013-06-03
1992051320 Sidney Kieppe Nelson Orthotist 3410 Executive Dr. Ste 203, Bldg 1, Raleigh, NC 27609 2012-08-03
1457376931 Marco T Calcagno Orthotist 9120 Deershire Ct, Raleigh, NC 27615-4099 2006-07-13
1952352270 Robert B Walters Orthotist 3909 Sunset Ridge Rd, Ste 103, Raleigh, NC 27607-6667 2006-05-12
1356940506 Manuel Contreras Orthotist 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 2020-10-20
1275163347 David Benjamin Wright Orthotist 3320 Executive Dr Ste 210, Raleigh, NC 27609-7445 2020-01-17
1306348354 Jillian Kay Hitchcock Orthotist 3410 Executive Dr Ste 203, Raleigh, NC 27609-7400 2018-03-06
1104328368 Alexandra Patricia Frost Orthotist 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 2018-03-05
1669984035 Sean Robert Wooldridge Orthotist 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 2017-10-25
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Competitor

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City RALEIGH
Zip Code 27612

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Dataset Information

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.

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