ALICIA HENDERSON (NPI# 1609160845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609160845 |
| Entity Type | Individual |
| Full Name | ALICIA HENDERSON |
| Credential | MD |
| Practice Address |
3401 Civic Center Blvd Ste 9329 Philadelphia PA 19104-4319 |
| Mailing Address |
100 Penn Square East 9th Floor North-caa Philadelphia PA 19107-3323 |
| Practice Telephone | 2155901858 |
| Practice Fax Number | 2155901415 |
| Mailing Telephone | 2674259309 |
| Mailing Fax Number | 2674259331 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
MD451063 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792623 | Alicia Henderson | Speech-Language Pathologist | 1254 N L St, Aberdeen, WA 98520-1761 | 2019-04-21 |
| 1285133561 | Alicia Henderson | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-9687 | 2018-02-01 |
| 1689207052 | Alicia Henderson | Counselor | 301 S Gallaher View Rd Ste 300, Knoxville, TN 37919-5370 | 2020-02-13 |
| 1366830796 | Alicia A Henderson | Psychologist | 1355 N University Ave, Provo, UT 84604-2721 | 2015-01-08 |
| 1053565598 | Alicia Yvette Henderson | Social Worker | 160 W 86th St, New York, NY 10024-4018 | 2008-11-11 |
| 1275725285 | Alicia Henderson | Specialist/Technologist | 2045 Peachtree Rd Ne, Ste 700, Atlanta, GA 30309-1414 | 2007-08-14 |
| Street Address |
3401 CIVIC CENTER BLVD STE 9329 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326072760 | Paul A Stricker | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2006-07-10 |
| 1952821076 | Jayme Leigh Decker | Registered Nurse | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2017-06-20 |
| 1164817953 | Lenard Babus | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2015-03-30 |
| 1619374667 | Lauren Lewis | Nurse Anesthetist, Certified Registered | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104 | 2014-11-19 |
| 1407261878 | Martha Kienzle | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-06-24 |
| 1083024376 | Grace Shih | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-05-07 |
| 1376953646 | Mohammed Issam Habis | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-05-07 |
| 1205254398 | Anushree Doshi | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-04-04 |
| 1447678826 | Rodrigo Javier Daly Guris | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-04-02 |
| 1548687650 | Amanda Jean Bernier O'halloran | Pediatrics | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629273685 | Julian Brian Kertsman | Anesthesiology | 1500 Locust St Apt 3112, Apt 3112, Philadelphia, PA 19102-4340 | 2007-06-19 |
| 1396721411 | Brian Patrick Struyk | Anesthesiology | 34th Street and Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399 | 2005-12-20 |
| 1639657034 | Jason Vaz | Anesthesiology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-07-30 |
| 1023506276 | Shriners Hospitals for Children | Anesthesiology | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2018-04-24 |
| 1750730008 | Anna Sobilo | Anesthesiology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-06-08 |
| 1902250244 | Mark Ettore | Anesthesiology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-04-22 |
| 1487008371 | Pda Anesthesia Associates PC | Anesthesiology | 2301 E Allegheny Ave, Suite 201, Philadelphia, PA 19134-4427 | 2016-04-18 |
| 1174977276 | Evelyn Bae | Anesthesiology | 3401 Civic Center Blvd, Division of Anesthesiology, Philadelphia, PA 19104-4319 | 2016-04-15 |
| 1447604624 | Bryan Michael Perez | Anesthesiology | 3401 Civic Center Blvd, Department of Anesthesiology and Critical Care Medicine, Philadelphia, PA 19104 | 2016-04-14 |
| 1326453101 | Luis Rafael Sequera Ramos | Anesthesiology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-06-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on ALICIA 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.