GERALD MARK HENDERSON (NPI# 1720382922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720382922 |
| Entity Type | Individual |
| Full Name | GERALD MARK HENDERSON |
| Credential | PA-C |
| Practice Address |
320 Alpenglow Ln Livingston MT 59047-8506 |
| Mailing Address |
104 N Davis St Belgrade MT 59714-3817 |
| Practice Telephone | 4062223541 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
557 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
320 ALPENGLOW LN |
| City | LIVINGSTON |
| State | MT |
| Zip Code | 59047-8506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222306 | Livingston Healthcare | General Acute Care Hospital | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2005-08-16 |
| 1396354213 | Christopher Spromberg | Psychologist | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2020-07-27 |
| 1205461514 | Gretchen Wise | Registered Nurse | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2020-03-06 |
| 1780233957 | Timothy Benson | Physician Assistant | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2019-09-10 |
| 1285191817 | Nicole Kelley | Nurse Practitioner | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2019-03-01 |
| 1427521715 | Livingston Healthcare | Health Educator | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2019-01-09 |
| 1528583531 | Kelli Ann Turner | Occupational Therapist | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2017-08-10 |
| 1033654835 | Joseph Reyna | Nurse Anesthetist, Certified Registered | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2017-01-03 |
| 1225488356 | Hannah Dupea | Family Medicine | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2016-06-20 |
| 1487028312 | Siobhan Conley | Physician Assistant | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2015-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013578343 | Sara Gentry | Social Worker | 126 East Callendar Suite 5, Livingston, MT 59047 | 2019-06-26 |
| 1972099752 | Lisa Talcott LLC | Social Worker | 410 S. 11th St, Livingston, MT 59047 | 2018-07-05 |
| 1326535071 | Christine Evelyn May | Counselor | 320 N Main St Ste 2, Livingston, MT 59047 | 2018-04-18 |
| 1033617469 | Lisa Talcott | Social Worker | 410 S. 11th St., Livingston, MT 59047 | 2018-01-31 |
| 1821492125 | Kim Salloux Lac | Preferred Provider Organization | 109 W Callender Suite 2e, Livingston, MT 59047 | 2014-10-15 |
| 1043657752 | Jamie Lynn Van Zee | Speech-Language Pathologist | 80 West Pine Creek, Livingston, MT 59047 | 2013-06-04 |
| 1598051039 | Emma Taylor Neal | Occupational Therapist | 608 E Milky Way Dr, Livingston, MT 59047 | 2011-06-23 |
| 1063715985 | Jacqueline K Isaly | Counselor | 430 E Park, Livingston, MT 59047 | 2010-12-15 |
| 1063665768 | Danny F. Neill | Hearing Instrument Specialist | 615 W. Park St., Livingston, MT 59047 | 2008-10-28 |
| 1093971376 | Kevin Graham Scott | Dentist | 422 South Main Street, Livingston, MT 59047 | 2008-08-05 |
| Find all providers in zip 59047 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396726196 | David Evan Mittman | Physician Assistant | 87 N Hillside Ave, Livingston, NJ 07039-1117 | 2005-11-08 |
| 1457870248 | Nicolette Julson | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2017-09-13 |
| 1285182766 | Sam Crowning | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2016-09-14 |
| 1922458991 | Merlynette Sabalvaro | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2016-06-20 |
| 1487028312 | Siobhan Conley | Physician Assistant | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2015-11-16 |
| 1427438860 | Davya Cummings-newby | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2015-06-01 |
| 1841578945 | Dana Deoliveira Debari | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2011-07-25 |
| 1124220306 | Louis Irvin Ambeaux Jr. | Physician Assistant | 604 S Washington Ave, Livingston, TX 77351-3451 | 2007-06-01 |
| 1790819605 | Jamie Arango | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2007-03-15 |
| 1407984008 | Garikiparthy Naga Jyothirmayi | Physician Assistant | 22 Old Short Hills Rd, Suite # 201, Livingston, NJ 07039-5604 | 2007-03-02 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 59047 |
Please comment or provide details below to improve the information on GERALD MARK 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.