GREGORY PHILIP HENDERSON


Address: 1441 Avocado Ave Ste 409, Newport Beach, CA 92660-7705
Phone: 9496404501

GREGORY PHILIP HENDERSON (NPI# 1619109519) 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) 1619109519
Entity Type Individual
Full Name GREGORY PHILIP HENDERSON
Credential M.D.
Practice Address 1441 Avocado Ave Ste 409
Newport Beach
CA 92660-7705
Practice Telephone 9496404501
Mailing Telephone 9496404501
Enumeration Date 2009-08-11
Last Update Date 2020-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology A125261 CA Allopathic & Osteopathic Physicians
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
A125261 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN ENROLLED 05
IA ENROLLED 05
MN RAILROAD MEDICARE P00940083 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1360 W 6th St Ste 270, San Pedro, CA 907323539 3108311272

Other Providers GREGORY HENDERSON

NPI Name Taxonomy Address Enumeration
1003247958 Gregory Henderson Counselor 39 Fogg Farm Road, Wilder, VT 05088 2013-12-03
1417206251 Gregory Henderson Counselor 725 Highland Ave Unit 100, Winston Salem, NC 27101-4181 2012-09-07
1679873459 Gregory Joseph Henderson Acupuncturist 1 Liberty Ave, Jeffersonville, PA 19403-3105 2010-10-27
1447571633 Gregory Shannon Henderson Psychiatry & Neurology 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 2010-06-22
1982826509 Gregory A Henderson Social Worker 40 Camelot Drive, Fond Du Lac, WI 54935 2007-05-03
1942230701 Gregory H Henderson Anesthesiology 1701 Senate Blvd, Indianapolis, IN 46202-1239 2006-07-04
1528004298 Gregory Henderson Occupational Therapist 3700 N Capitol St Nw, Washington, DC 20011-8400 2006-06-21
1407804859 Gregory S Henderson Pathology 2520 Cherry Ave, Pathology Department, Bremerton, WA 98310-4229 2006-05-05
1528068335 Gregory D Henderson Nurse Anesthetist, Certified Registered 300 Singleton Ridge Rd, Conway, SC 29526-9142 2005-07-22
1427055227 Gregory L Henderson Sr. Ophthalmology 403 Vonderburg Dr, Ste 101, Brandon, FL 33511-5982 2005-07-07

Office Location

Street Address 1441 AVOCADO AVE STE 409
City NEWPORT BEACH
State CA
Zip Code 92660-7705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164596755 Jeanne M. Spudick, D.o., A Medical Corporation Internal Medicine 1441 Avocado Ave Ste 409, Newport Beach, CA 92660-7705 2006-11-17
1710186085 David C. Herzlinger,m.d.,a Professional Corp Specialist 1441 Avocado Ave Ste 409, Newport Beach, CA 92660-7705 2007-07-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275144024 Lumins Aesthetic and Wellness, Inc Dermatology 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 2020-08-14
1205445798 Felecia A Pedrogo Marriage & Family Therapist 5020 Campus Street, Newport Beach, CA 92660 2020-07-30
1649898388 Polyviou Dental Corportation, Inc. Clinic/Center 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 2020-07-09
1154974525 Jan M. Eckermann, Md Inc. Neurological Surgery 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 2019-07-24
1235792219 Horizon Dermatology and Laser Institute Dermatology 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 2019-04-16
1902366925 Yasmine Central Gohar Marriage & Family Therapist 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 2019-03-25
1245703255 Charison Counseling Counselor 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 2019-01-03
1134698996 Amber Werner Chiropractor 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 2018-11-21
1861969008 Healthy Me Oc Dietitian, Registered 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 2018-10-25
1174015192 Edwin Enwia Clinic/Center 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 2018-06-05
Find all providers in zip 92660

Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740410182 Pacific Dermatology Institute Dermatology 240 Newport Center Dr Ste 105, Suite 105, Newport Beach, CA 92660 2009-07-20
1689711244 Advanced Skincare Medcenter Inc. Dermatology 369 San Miguel Dr Ste 235, Newport Beach, CA 92660-7816 2007-01-31
1477564128 Grace S Liu Dermatology 3991 Macarthur Blvd, Suite 228, Newport Beach, CA 92660-3058 2006-08-10
1700035946 Adam M. Rotunda, M.d., A Professional Corporation Dermatology 1100 Quail St, Suite 102, Newport Beach, CA 92660-2701 2008-09-11
1861656563 Grace Liu, Md Inc. Dermatology 3991 Macarthur Blvd, Ste. 228, Newport Beach, CA 92660-3009 2008-07-11
1255590808 Gregory Alan. Bartlow, M.d., Inc. Dermatology 1441 Avocado Ave, 806, Newport Beach, CA 92660-7721 2008-06-07
1063608107 Newport Coast Dermatology Dermatology 3991 Macarthur Blvd, Suite 228, Newport Beach, CA 92660-3058 2007-09-21
1124166400 Dermatology & Laser Clinic, Inc. Dermatology 401 Old Newport Blvd, Suite 102, Newport Beach, CA 92663-4269 2007-02-01
1497706113 Tanya Jeanette Foreman Dermatology 400 Newport Center Dr, Suite 702, Newport Beach, CA 92660-7601 2006-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578173936 Mill Valley Dermatology, Inc Dermatology 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 2020-07-31
1710508874 Zhe Hou, M.d., Ph.d., A Professional Corporation Dermatology 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 2020-04-29
1073152112 Agape Dermatology PC Dermatology 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 2020-01-06
1497392492 Pacifica Dermatology Dermatology 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 2019-12-09
1518447689 Razieh Soltani Arabshahi Md Inc Dermatology 960 E Green St Ste 330, Pasadena, CA 91106-2401 2018-08-18
1811497928 Laca Dermatology, Inc Dermatology 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 2018-02-15
1427509959 Northern California Medical Assoc Inc Dermatology 555 S Dora St Ste B, Ukiah, CA 95482-5424 2016-10-19
1376091553 Integrated Dermatology of Mission Viejo, Apmc Dermatology 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 2016-09-15
1164835518 Laila Elkeeb, M.d., Inc Dermatology 242 Wicker, Irvine, CA 92618-1170 2014-06-03
1518303924 Christine Shaver Dermatology 1301 20th St Ste 570, Santa Monica, CA 90404-2118 2013-05-13
Find all providers with the same taxonomy

Competitor

Search similar providers

City NEWPORT BEACH
Zip Code 92660

Improve Information

Please comment or provide details below to improve the information on GREGORY PHILIP HENDERSON.

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.

Trending Searches