MARK S HENDERSON M D P A (NPI# 1720247794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720247794 |
| Entity Type | Organization |
| Organization Name | MARK S HENDERSON M D P A |
| Practice Address |
1101 Raintree Cir Suite 240 Allen TX 75013-4922 |
| Practice Telephone | 9729083595 |
| Practice Fax Number | 9729083596 |
| Mailing Telephone | 9729083595 |
| Mailing Fax Number | 9729083596 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | MARK SHEA HENDERSON (OWNER) |
| Authorized Official Telephone | 9729083595 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | J4200 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8BF145 | 01 |
| TX | 113358901 | 05 | |
| TX | RAILROAD MEDICARE | 990010000 | 01 |
| Street Address |
1101 RAINTREE CIR SUITE 240 |
| City | ALLEN |
| State | TX |
| Zip Code | 75013-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790772796 | Allen Spine & Sportscare, LLP | Physical Therapist | 1101 Raintree Cir, Suite 150, Allen, TX 75013-4922 | 2005-10-04 |
| 1346873387 | Janice Ann Paul | Occupational Therapist | 1101 Raintree Cir, Allen, TX 75013-4922 | 2020-02-18 |
| 1356972079 | Alexis Fidel Suarez | Physical Therapist | 1101 Raintree Cir, Allen, TX 75013-4922 | 2020-01-31 |
| 1942745955 | Matthew Hawkins | Physical Therapist | 1101 Raintree Cir, Allen, TX 75013-4922 | 2016-12-29 |
| 1891237251 | Loial Rehab LLC | Clinic/Center | 1101 Raintree Cir, Suite 220, Allen, TX 75013 | 2016-11-15 |
| 1922483791 | Sarah Sadiq Bhatti | Physician Assistant | 1101 Raintree Cir, 250, Allen, TX 75013-4922 | 2015-07-22 |
| 1922244771 | Skin Specialists, Pa | Dermatology | 1101 Raintree Cir, 250, Allen, TX 75013-4922 | 2008-12-29 |
| 1932350949 | Ca Chiropractic & Acupuncture Rehab Center, Inc | Chiropractor | 1101 Raintree Cir, Suite 288, Allen, TX 75013-4922 | 2008-10-08 |
| 1932301637 | Amanda Pauline Muir | Internal Medicine | 1101 Raintree Cir, Suite 200, Allen, TX 75013-4922 | 2007-06-04 |
| 1124140991 | Gregory Alan Ennis, M.d., P.a. | Family Medicine | 1101 Raintree Cir, Suite 200, Allen, TX 75013-4922 | 2007-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059230 | Alla Al-habib Md Pllc | Psychiatry & Neurology | 981 Sh 121, Suite 3100, Allen, TX 75013 | 2020-09-25 |
| 1457968430 | Park Ventura Endoscopy Center, LLC | Clinic/Center | 981 State Highway 121, Suite 2100, Allen, TX 75013 | 2020-09-24 |
| 1689288342 | Nortex Medical Group | General Practice | 981 State Highway 121 Ste 4150, Allen, TX 75013 | 2020-09-01 |
| 1417569807 | Navaneetha Brindha Natchimuthu Dds, Pllc | Dentist | 880 W Exchange Parkway, Building A, Suite 140, Allen, TX 75013 | 2020-08-18 |
| 1225647423 | Fivestar Pulmonary Associates Pllc | Internal Medicine | 981 State Hwy 121, Ste 3100, Allen, TX 75013 | 2020-07-24 |
| 1497363741 | Pharmestate LLC | Pharmacy | 317 Central Expressway North, Allen, TX 75013 | 2020-07-22 |
| 1265063002 | Paul-douglas Walters | Clinic/Center | 1101 Raintee Circle, Suite 130, Allen, TX 75013 | 2020-01-30 |
| 1043840069 | Thrive Dental Allen Pllc | Dentist | 1010 W Exchange Pkwy, #130, Allen, TX 75013 | 2020-01-17 |
| 1023578952 | Keri Owens | In Home Supportive Care | 1823 Valencia Drive, Allen, TX 75013 | 2019-03-25 |
| 1639636939 | The Children's Dentist of Allen | Dentist | 261 W. Exchange Pkwy., Allen, TX 75013 | 2019-02-23 |
| Find all providers in zip 75013 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932693710 | Tammy Lynn Winford | Surgery | 1314 W Mcdermott Dr Ste 106-608, Allen, TX 75013-3021 | 2018-06-15 |
| 1053798983 | Spine Team Texas, Pa | Surgery | 1105 Central Expy N # 2370, Mob II, Allen, TX 75013-6103 | 2015-04-29 |
| 1568596963 | Radha Gopal Iyengar | Surgery | 1105 Central Expy N Ste 2100, Medical Building 2, Allen, TX 75013-6120 | 2007-03-15 |
| 1831734425 | Morningbelle | Surgery | 1105 Central Expy N, Allen, TX 75013-6103 | 2019-11-07 |
| 1912479460 | Debbie Huynh LLC | Surgery | 1622 Tarrytown Ln, Allen, TX 75013-3345 | 2018-12-21 |
| 1487101572 | Brittani Bell | Surgery | 1105 Central Expy N, Allen, TX 75013-6103 | 2016-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110971 | Metroplex Surgical Institute Pllc | Surgery | 2937 Lago Vista Ln, Rockwall, TX 75032-5466 | 2020-09-24 |
| 1881209708 | Preva Surgical Partners Cypress LLC | Surgery | 13114 Fm 1960 Rd W Ste 118, Houston, TX 77065-5590 | 2020-09-09 |
| 1063021749 | Brooke Nicole Harris | Surgery | 355 E Vista Ridge Mall Dr Apt 4933, Lewisville, TX 75067-4024 | 2020-07-28 |
| 1609484872 | Deepak Dev Vivekanandan | Surgery | 7703 Floyd Curl Dr # Mc-7742, San Antonio, TX 78229-3901 | 2020-07-14 |
| 1760009195 | Tomball Surgical Assistant Service LLC | Surgery | 18220 Tomball Pkwy # 249, Houston, TX 77070-4347 | 2020-07-01 |
| 1174147086 | North Texas General Surgery Pllc | Surgery | 1600 Coit Rd Ste 207, Plano, TX 75075-6172 | 2020-06-05 |
| 1619591690 | Expert Surgical, Pllc | Surgery | 3537 S I 35 E Ste 200, Denton, TX 76210-6814 | 2020-06-04 |
| 1831712314 | Merten Gene Pearson | Surgery | 7306 Sw 34th Ave Ste 6, Amarillo, TX 79121-1446 | 2020-05-19 |
| 1558983098 | Aleshia Yvette Toler-levi | Surgery | 405 Schley Ave, Orange, TX 77630-3503 | 2020-05-06 |
| 1508487570 | Somkenechi Ijeoma Ajene | Surgery | 301 University Boulevard, 6.136-b John Sealy Annex, Galveston, TX 77555-0534 | 2020-05-01 |
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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.