ANNA F HENDERSON (NPI# 1700229390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700229390 |
Entity Type | Individual |
Full Name | ANNA F HENDERSON |
Other Name | ANNA E FERGUSON |
Credential | M.D. |
Practice Address |
417 State St Ste 305 Bangor ME 04401-6654 |
Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
Practice Telephone | 2079737107 |
Mailing Telephone | 2079735035 |
Mailing Fax Number | 2079735042 |
Enumeration Date | 2013-04-12 |
Last Update Date | 2019-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
MD22939 | ME | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
3333 Burnet Ave, Cincinnati, OH 452293026 | 5136364315 | 5136367905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306396379 | Anna Henderson | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5051 | 2016-10-13 |
1629467667 | Anna Henderson | Physician Assistant | 3400 Highway 78 E, Jasper, AL 35501-8907 | 2015-01-14 |
1427300136 | Anna Henderson | Community Health Worker | 204 Hampton Dr, Venice, CA 90291-2623 | 2012-10-04 |
Street Address |
417 STATE ST STE 305 |
City | BANGOR |
State | ME |
Zip Code | 04401-6654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356520647 | Thomas Charles Martin | Pediatrics | 417 State St Ste 305, Bangor, ME 04401-6654 | 2007-11-02 |
1467770784 | Allison L. Behrle Yardley | Pediatrics | 417 State St Ste 305, Bangor, ME 04401-6654 | 2010-05-11 |
1164698569 | Pip Hidestrand | Pediatrics | 417 State St Ste 305, Bangor, ME 04401-6654 | 2008-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
Find all providers in zip 04401 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487781548 | Eastern Maine Medical Center | Pediatrics | 404 State St Ste 310, Bangor, ME 04401-6623 | 2007-02-27 |
1467770784 | Allison L. Behrle Yardley | Pediatrics | 417 State St Ste 305, Bangor, ME 04401-6654 | 2010-05-11 |
Please comment or provide details below to improve the information on ANNA F 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.