DR. JUDY D HENDERSON (NPI# 1700813227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700813227 |
Entity Type | Individual |
Full Name | DR. JUDY D HENDERSON |
Credential | M.D. |
Practice Address |
6572 Red Arrow Hwy Coloma MI 49038-8700 |
Practice Telephone | 2692027014 |
Practice Fax Number | 2692027130 |
Mailing Telephone | 2692027014 |
Mailing Fax Number | 2692027130 |
Enumeration Date | 2006-06-28 |
Last Update Date | 2015-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 4301088108 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 0111108 | 01 | |
MI | BLUE CROS BLUE SHIELD | 1101111081 | 01 |
MI | 1700813227 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376586818 | Judy L Henderson | Counselor | 1705 W 6th St, Suite H, Greenville, NC 27834-2829 | 2006-06-13 |
1063901718 | Judy Henderson | Counselor | 1080 N Delaware Ave Ste 202, Philadelphia, PA 19125-4319 | 2018-05-08 |
Street Address |
6572 RED ARROW HWY |
City | COLOMA |
State | MI |
Zip Code | 49038-8700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881837102 | Red Arrow Medical Clinic PC | Internal Medicine | 6572 Red Arrow Hwy, Coloma, MI 49038-8700 | 2009-04-16 |
1619902855 | Aurora B Madanguit | Internal Medicine | 6572 Red Arrow Hwy, Coloma, MI 49038-8717 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528494135 | Gerald Carl Thiele | Hearing Instrument Specialist | 6693 Red Arrow Hwy, Coloma, MI 49038 | 2013-09-16 |
1518283100 | Jeffrey Thomas Perrapato | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6270 Lakewood Pointe Drive, Coloma, MI 49038 | 2010-04-08 |
1316123102 | Moss Chiropractic Clinic P.C. | Chiropractor | 429 N. Paw Paw Street, Coloma, MI 49038 | 2008-01-11 |
1386848745 | Daniel A Iliff | Chiropractor | 6560 Red Arrow Highway, Coloma, MI 49038 | 2007-06-12 |
1598711939 | Darlene Suzanne Bruner-getz | Dentist | 213 N Paw Paw St, Coloma, MI 49038 | 2006-05-26 |
1194295782 | Jeremy B Shelley | Physical Therapist | 7040 Red Arrow Hwy, Coloma, MI 49038 | 2018-11-27 |
1265898878 | Brandi Smith | Nurse Practitioner | 6701 Paw Paw Ave, Coloma, MI 49038 | 2016-01-12 |
1144866906 | Healing Counseling Services LLC | Social Worker | 6572 Red Arrow Hwy Ste 2, Coloma, MI 49038-8700 | 2019-11-26 |
1457540908 | Red Arrow Family Practice | General Practice | 6500 Red Arrow Hwy, Coloma, MI 49038-8700 | 2007-10-22 |
1962562397 | Susan L Startup | Social Worker | 6560 Red Arrow Hwy, Coloma, MI 49038-8700 | 2006-12-08 |
Find all providers in zip 49038 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881837102 | Red Arrow Medical Clinic PC | Internal Medicine | 6572 Red Arrow Hwy, Coloma, MI 49038-8700 | 2009-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910687 | Berry Johnson Health Pllc | Internal Medicine | 30123 Rock Creek Dr, Southfield, MI 48076-5358 | 2020-10-24 |
1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
1790399798 | Enhua Wang | Internal Medicine | 1215 E Michigan Ave Ste 500, Lansing, MI 48912-1811 | 2020-09-07 |
1093329849 | Hey Doc, P.C. | Internal Medicine | 1431 Washington Blvd Apt 2510, Detroit, MI 48226-1729 | 2020-08-31 |
1568074375 | Mohammad Nadeemullah Pllc | Internal Medicine | 5400 Waldenhill Ct, Superior Twp, MI 48198-9654 | 2020-08-21 |
1356953723 | Eager Internal Medicine, Pllc | Internal Medicine | 720 N Lapeer Rd Ste 101, Lake Orion, MI 48362-4011 | 2020-08-18 |
1144838335 | Ranim Chamseddin | Internal Medicine | 3200 Five Points Dr Unit 110, Auburn Hills, MI 48326-2372 | 2020-07-14 |
1407474562 | Pravalika Rudraraju | Internal Medicine | 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 | 2020-07-06 |
1780200469 | Abed L Dabaja | Internal Medicine | 6245 Inkster Rd # Gme, Garden City, MI 48135-4001 | 2020-06-18 |
1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
Find all providers with the same taxonomy |
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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.