MR. RICHARD ROBERT HENDERSON (NPI# 1700855848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700855848 |
| Entity Type | Individual |
| Full Name | MR. RICHARD ROBERT HENDERSON |
| Credential | MD |
| Practice Address |
1522 Vaughn Rd Burlington NC 27217 |
| Practice Telephone | 3362269393 |
| Practice Fax Number | 3362270496 |
| Mailing Telephone | 3362269393 |
| Mailing Fax Number | 3362270496 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 13641 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8901143 | 05 | |
| NC | 8941461 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780877142 | Richard Taylor Henderson | Counselor | 9535 Sun Pointe Dr, Boynton Beach, FL 33437-3329 | 2007-08-20 |
| 1487872511 | Richard Leslie Henderson | Psychiatry & Neurology | 19660 Rimrock Ln, Apple Valley, CA 92307-1645 | 2007-04-23 |
| 1063589943 | Richard L. Henderson | Family Medicine | 555 E Tachevah Dr Ste 2e107, Palm Springs, CA 92262-5752 | 2006-11-29 |
| 1881019859 | Richard M. Henderson Jr. | Occupational Therapist | 5321 Beverly Park Cir, Knoxville, TN 37918 | 2014-02-27 |
| 1669537528 | Richard Henderson | Optometrist | 1609 N Dixie Hwy, Elizabethtown, KY 42701-6473 | 2006-12-22 |
| 1891896494 | Richard Henderson | Emergency Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2006-09-26 |
| 1144329962 | Richard C Henderson | Orthopaedic Surgery | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-09-21 |
| 1689685489 | Richard William Henderson | Obstetrics & Gynecology | 701 N Clayton St, Suite 510 Medical Office Building, Wilmington, DE 19805-3165 | 2006-08-10 |
| 1427002336 | Richard A Henderson | Internal Medicine | 9812 Slide Rd, Lubbock, TX 79424-5781 | 2006-05-22 |
| 1437129947 | Richard Lyle Henderson | Orthopaedic Surgery | 380 Chase Ave, Orthopedics, Walla Walla, WA 99362-2924 | 2006-01-25 |
| Street Address |
1522 VAUGHN RD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316921125 | Ernest Bernard Eason | Internal Medicine | 1522 Vaughn Rd, Burlington, NC 27217-2853 | 2005-12-05 |
| 1508038001 | Alamance Academy, LLC | Community/Behavioral Health | 1522 Vaughn Rd, Burlington, NC 27217-2871 | 2008-03-25 |
| 1962544767 | Burlington Dermatology Center, Inc. | Specialist | 1522 Vaughn Rd, Burlington, NC 27217-2871 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1851739643 | Falcon Crest Residential | Community/Behavioral Health | 3309a N Nc Highway 49, Burlington, NC 27217 | 2013-06-13 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| Find all providers in zip 27217 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154596096 | Katherine S. Masterpol | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2008-04-22 |
| 1174650501 | Adam Daniel Lipworth | Dermatology | 67 S. Bedford Street, Lahey Hospital & Medical Center, Burlington, MA 01803 | 2007-02-27 |
| 1114029675 | Adele Ann Moreland | Dermatology | Lahey Cinic Inc, 41 Mall Road, Burlington, MA 01805-0001 | 2006-09-03 |
| 1982695664 | Thomas M Ruenger | Dermatology | Lahey Hospital & Medical Center, 67 S. Bedford Street, Burlington, MA 01805-5108 | 2005-11-02 |
| 1811460157 | Dermphysicians of New England I LLC | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2019-01-09 |
| 1558834523 | Dermphysicians of New England LLC | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2019-01-02 |
| 1548702186 | Moses Cone Physician Services, Inc | Dermatology | 1734 Westbrook Ave, Burlington, NC 27215-8721 | 2016-11-14 |
| 1902280308 | Laura Sowerby | Dermatology | 67 S Bedford St, Burlington, MA 01803-5108 | 2015-07-15 |
| 1881071413 | Elena Gonzalez Brant | Dermatology | Lahey Hospital and Medical Center, 67 S. Bedford Street, Burlington, MA 01803 | 2015-05-04 |
| 1750776712 | Sara Alison Berg | Dermatology | 41 Mall Rd, Burlington, MA 01805-0001 | 2015-04-06 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
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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.