DR. FRASER CUMMINS HENDERSON JR. (NPI# 1598104259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598104259 |
| Entity Type | Individual |
| Full Name | DR. FRASER CUMMINS HENDERSON JR. |
| Credential | M.D. |
| Practice Address |
169 Ashley Ave Room 202 Main Hospital Msc333 Charleston SC 29425-8905 |
| Practice Telephone | 8437929300 |
| Mailing Telephone | 8437929300 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2014-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 000 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404788 | Fraser Henderson | Neurological Surgery | 8401 Connecticut Avenue Nw, Chevy Chase, MD 20814 | 2005-08-18 |
| Street Address |
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683621 | Henry R Smith Jr. | Pharmacist | 169 Ashley Ave, Room 149 Musc, Charleston, SC 29403-5836 | 2005-10-14 |
| 1700490794 | Ryan Zachery Stone | Physician Assistant | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-09-07 |
| 1659997187 | Baxter Timmons Williams | Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-20 |
| 1295351195 | Margaret Lee Ferrell | Dentist | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-17 |
| 1518582469 | Afifah Khan | Internal Medicine | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2020-06-16 |
| 1437775376 | Timothy Andrew Webb | Neurological Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-16 |
| 1083239677 | Chelsea Danielle Eason | Dermatology | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2020-06-10 |
| 1922623503 | John Matti Sippola Thiele | Internal Medicine | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-10 |
| 1457976243 | Lauren Knightly | Obstetrics & Gynecology | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-08 |
| 1801410824 | Allison Kuipers | Pediatrics | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285259374 | Brian Fabian Saway | Neurological Surgery | 96 Jonathan Lucas St Rm 301, Charleston, SC 29425-8900 | 2020-06-15 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1871899112 | Curtis Lee Withrow Sr. | Neurological Surgery | 1501 Barberry Ln, Charleston, WV 25314-1901 | 2011-02-03 |
| 1437775376 | Timothy Andrew Webb | Neurological Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-16 |
| 1942860416 | Aimee C Weber | Neurological Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2019-06-17 |
| 1497240311 | Orgest Lajthia | Neurological Surgery | 171 Ashley Ave, Charleston, SC 29425 | 2018-06-23 |
| 1538689922 | David Brogan | Neurological Surgery | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2017-06-27 |
| 1407386055 | Laura Wolgamott | Neurological Surgery | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2017-06-15 |
| 1427408632 | Thomas Larrew | Neurological Surgery | 96 Jonathan Lucas St, Csb 301 Msc 606, Charleston, SC 29425-8900 | 2016-06-18 |
| 1821447731 | Guilherme Bastos Ferreira Porto | Neurological Surgery | 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 | 2016-06-10 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.