LARRY HENDERSON (NPI# 1699105643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699105643 |
| Entity Type | Individual |
| Full Name | LARRY HENDERSON |
| Practice Address |
1426 Canyon Ave Ne Live Oak FL 32064-4832 |
| Practice Telephone | 3862080537 |
| Mailing Telephone | 3862080537 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | FL2118 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710399084 | Larry Henderson | Early Intervention Provider Agency | 5100 Obannon Dr Apt 78, Las Vegas, NV 89146 | 2014-05-21 |
| 1215976022 | Larry A Henderson Jr. | Family Medicine | 92 Ratliff St, Lucedale, MS 39452-6537 | 2006-06-06 |
| 1801019302 | Larry P Henderson | Counselor | 1100 Bob Courtway Dr, Suite 9, Conway, AR 72032-4766 | 2007-04-11 |
| Street Address |
1426 CANYON AVE NE |
| City | LIVE OAK |
| State | FL |
| Zip Code | 32064-4832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219645 | Amber Suzanne Ingram | Nurse Practitioner | 1426 Canyon Ave Ne, Live Oak, FL 32064 | 2005-07-18 |
| 1174921696 | Live Oak Hma, LLC | Family Medicine | 1426 Canyon Ave Ne, Unit B, Live Oak, FL 32064-4832 | 2014-12-16 |
| 1083881668 | Malik M. Naqi | Internal Medicine | 1426 Canyon Ave Ne, Ste C, Live Oak, FL 32064-4832 | 2008-05-13 |
| 1669568499 | Live Oak Hma, LLC | Clinic/Center | 1426 Canyon Ave Ne, Unit B, Live Oak, FL 32064-4832 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517988 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2215 Ohio Ave N, Live Oak, FL 32064 | 2020-08-05 |
| 1821641150 | North Florida Natural Health, Inc | Clinic/Center | 405 11th Street Sw, Suite 206, Live Oak, FL 32064 | 2019-07-16 |
| 1558602482 | North Florida Pediatrics, Pa | Pediatrics | 1101 Ohio Ave South, Live Oak, FL 32064 | 2013-03-01 |
| 1427372093 | Steele Chiropractic Center, Inc | Chiropractor | 609 5th Street S.w., Suite 3, Live Oak, FL 32064 | 2010-03-25 |
| 1982855896 | John Workman, Dc, Pllc | Chiropractor | 216 Duval St Nw, Live Oak, FL 32064 | 2008-10-09 |
| 1629255799 | Alec Floyd Redfearn Jr. | Dentist | 931 North Ohio Avenue, Live Oak, FL 32064 | 2008-01-30 |
| 1639369051 | Julie L Owens Od Pa | Optometrist | 522 S. Ohio Ave, Live Oak, FL 32064 | 2007-08-01 |
| 1568512291 | Gina R Marler | Speech-Language Pathologist | 609 5th Street Sw Suite 3, Live Oak, FL 32064 | 2007-01-12 |
| 1174687230 | Suwannee County School Board | Local Education Agency (LEA) | 702 E Second St Nw, Live Oak, FL 32064 | 2006-12-21 |
| 1134235583 | Richard D Cason | Chiropractor | 328 West Howard Street, Live Oak, FL 32064 | 2006-08-21 |
| Find all providers in zip 32064 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1104193143 | Elva Earline Deleon | Physician Assistant | 12415 Judson Road, Live Oak, TX 78233-5015 | 2011-11-18 |
| 1164647129 | Barbara Spero | Physician Assistant | 12602 Toepperwein Rd Ste 202, Live Oak, TX 78233-3271 | 2007-04-16 |
| 1417020314 | Richard A Corley | Physician Assistant | 10820 Marvin E Jones Blvd, Live Oak, FL 32060 | 2006-11-16 |
| 1720011430 | Graciela Patricia Spencer | Physician Assistant | 12702 Toepperwein Rd, Ste. 120, Live Oak, TX 78233-3278 | 2006-07-08 |
| 1992364970 | Jordan Taylor Gooch | Physician Assistant | 12850 Toepperwein Rd, Live Oak, TX 78233-4115 | 2019-06-12 |
| 1669917472 | Suwannee Emergency Group LLC | Physician Assistant | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2017-01-03 |
| 1174994396 | Herald Emergency Physicians, Pllc | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2015-10-14 |
| 1790156966 | Inner Harbor Emergency Physicians, Pllc | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2015-10-14 |
| 1356732028 | Ashley Tubb | Physician Assistant | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 | 2015-02-16 |
| Find all providers in LIVE OAK | ||||
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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.