DR. MATTHEW BRANDON HENDERSON (NPI# 1689093379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689093379 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BRANDON HENDERSON |
| Credential | D.O. |
| Practice Address |
2501 N Orange Ave Ste 589 Orlando FL 32804-4647 |
| Practice Telephone | 4073032080 |
| Practice Fax Number | 4073032085 |
| Mailing Telephone | 4073032080 |
| Mailing Fax Number | 4073032085 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | OS17019 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 34.012742 | OH | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
OS17019 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 112194075 | 7722855079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623172 | Matthew Gregory Henderson | Physician Assistant | Psc 311, Us Army, Apo, AP 96258 | 2018-09-18 |
| 1831543065 | Matthew Jamal Henderson | Counselor | 6375 S Williamson Blvd, Apt #733, Port Orange, FL 32128-4010 | 2016-04-13 |
| 1790310399 | Matthew Henderson | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-04 |
| 1013568740 | Matthew Henderson | Nurse Practitioner | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2019-09-24 |
| 1184150666 | Matthew Scott Henderson | Social Worker | 3155 Mill St Ne, Covington, GA 30014-2542 | 2017-05-03 |
| 1134596901 | Matthew Henderson | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2015-08-28 |
| 1639438484 | Matthew Henderson | Anesthesiology | 101 W 8th Ave, Spokane, WA 99204-2307 | 2012-05-15 |
| 1629351895 | Matthew David Henderson | Pharmacist | 6435 Aliante Pkwy, North Las Vegas, NV 89084-3196 | 2011-09-23 |
| 1427273879 | Matthew Henderson | Physical Therapist | 4450 Hugh Howell Rd Ste 9, Tucker, GA 30084-4917 | 2007-04-13 |
| 1235280744 | Matthew Morgan Henderson | Social Worker | 1100 Wilford Hall Loop, San Antonio, TX 78236-5638 | 2007-01-13 |
| Street Address |
2501 N ORANGE AVE STE 589 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518010164 | David Richard Shook | Pediatrics | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2007-01-18 |
| 1558868596 | Deanna Todorovic | Nurse Practitioner | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2018-04-06 |
| 1649632514 | Megan Downey Wilkins | Nurse Practitioner | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2016-03-22 |
| 1609019207 | Heather Brittany Allewelt | Pediatrics | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2009-04-13 |
| 1982845483 | Lori Ann Lion | Nurse Practitioner | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2009-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518010164 | David Richard Shook | Pediatrics | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2007-01-18 |
| 1740748797 | Annabeth Walters Huff | Pediatrics | 92 W Miller Street, Orlando, FL 32806 | 2019-03-08 |
| 1710457684 | Kristen Beth Gibbs | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2018-12-04 |
| 1285038687 | Farranaz Alvarez Nunez | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2014-10-14 |
| 1992048649 | Claudia P Zapata | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2013-04-01 |
| 1497010813 | Avery Colleen Wright | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2012-07-11 |
| 1609019207 | Heather Brittany Allewelt | Pediatrics | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2009-04-13 |
| 1497957591 | Robert M Sutphin | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2007-06-01 |
| 1134279177 | Ramamoorthy Nagasubramanian | Pediatrics | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2007-01-11 |
| 1972612745 | Judith E. Wall | Pediatrics | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2006-08-29 |
| Find all providers in ORLANDO | ||||
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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.