DR. THOMAS ALLEN HENDERSON (NPI# 1740371020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740371020 |
| Entity Type | Individual |
| Full Name | DR. THOMAS ALLEN HENDERSON |
| Credential | MD |
| Practice Address |
722 S Wahsatch Ave Colorado Springs CO 80903-4035 |
| Mailing Address |
3205 N Academy Blvd Suite 130 Colorado Springs CO 80917-5101 |
| Practice Telephone | 7196325700 |
| Practice Fax Number | 7193447817 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7193447837 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 39290 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 09970754 | 05 | |
| CO | COLORADO LICENSE | 39290 | 01 |
| CO | DEA | BH2403032 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437512209 | Thomas Henderson | Counselor | 7440 Tolleson Ave Nw, Albuquerque, NM 87114-3548 | 2016-03-30 |
| 1538315338 | Thomas J Henderson | Audiologist | 330 Camden Cswy, Suite A, Elizabeth City, NC 27909-6811 | 2008-08-12 |
| 1982652426 | Thomas Henderson | Psychologist | 221 E Wesley Dr, Brazil, IN 47834-6826 | 2006-05-05 |
| 1659374171 | Thomas H Henderson | Family Medicine | 4120 W Franklin St, Bellbrook, OH 45305-1547 | 2005-05-30 |
| 1669729331 | Thomas James Henderson | Pharmacist | 107 Argus Ln, Mooresville, NC 28117-6977 | 2012-08-12 |
| 1578721866 | Thomas James Henderson | Emergency Medicine | 913 N Dixie Ave, Department of Emergency Medicine, Elizabethtown, KY 42701-2503 | 2008-05-23 |
| 1245405984 | Thomas Wayne Henderson | Family Medicine | 326 21st Ave N, Nashville, TN 37203-1846 | 2008-04-24 |
| 1548438427 | Thomas Ray Henderson | Pharmacist | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2008-02-13 |
| 1407045339 | Thomas Thoman Henderson | Ophthalmology | 3410 Far West Blvd, Suite 140, Austin, TX 78731-3194 | 2007-10-16 |
| 1720095664 | Thomas Henderson | Emergency Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2006-08-02 |
| Street Address |
722 S WAHSATCH AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083089486 | Karen Felber | Counselor | 722 S Wahsatch Ave, Colorado Springs, CO 80903-4035 | 2015-12-10 |
| 1598185381 | Tyler Backlas | Family Medicine | 722 S Wahsatch Ave, Colorado Springs, CO 80903-4035 | 2014-04-21 |
| 1356601637 | Carmina Blasko | Counselor | 722 S Wahsatch Ave, Colorado Springs, CO 80903-4035 | 2012-05-21 |
| 1033412796 | Peak Vista Community Health Centers | Clinic/Center | 722 S Wahsatch Ave, Colorado Springs, CO 80903 | 2010-12-17 |
| 1316189384 | Jennifer Linden | Physician Assistant | 722 S Wahsatch Ave, Colorado Springs, CO 80903-4035 | 2009-04-06 |
| 1104063031 | Vanessa Josephine Power | Social Worker | 722 S Wahsatch Ave, Colorado Springs, CO 80903-4035 | 2009-01-14 |
| 1639316003 | Alyssa June Mcclurg | Registered Nurse | 722 S Wahsatch Ave, Colorado Springs, CO 80903-4035 | 2009-01-07 |
| 1659599975 | Debra M Koepfer | Pediatrics | 722 S Wahsatch Ave, Colorado Springs, CO 80903-4035 | 2007-04-23 |
| 1912061466 | Mary J Shaffer | Nurse Practitioner | 722 S Wahsatch Ave, Colorado Springs, CO 80903-4035 | 2006-12-20 |
| 1962469338 | Norma Gonzalez Cump | Family Medicine | 722 S Wahsatch Ave, Colorado Springs, CO 80903-4035 | 2006-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| 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 |
|---|---|---|---|---|
| 1912435181 | Alpha Group LLC | Internal Medicine | 2920 N Cascade Ave Ste 201, Colorado Springs, CO 80907-6264 | 2017-05-31 |
| 1982013082 | Springs Medical Associates, Inc | Internal Medicine | 155 Printers Pkwy Ste 230, Colorado Springs, CO 80910-6102 | 2014-08-04 |
| 1477961787 | Karen Steinberg | Internal Medicine | 6117 Del Paz Dr, Colorado Springs, CO 80918-3003 | 2014-07-30 |
| 1114209079 | Touchstone Internal Medicine Pllc | Internal Medicine | 218 E Cheyenne Mtn Blvd, Colorado Springs, CO 80906-3720 | 2011-09-15 |
| 1336470608 | Robert Anthony Hannaman | Internal Medicine | 1455 Quail Lake Loop, Ste 100, Colorado Springs, CO 80906-4664 | 2010-01-26 |
| 1548402647 | Colorado Community Clinic Inc | Internal Medicine | 1605 N Union Blvd Ste 100, Colorado Springs, CO 80909 | 2009-04-03 |
| 1255589297 | Kendra D Robison | Internal Medicine | 6340 E Barnes Road, Colorado Springs Health Partners Internal Medicine, Colorado Springs, CO 80922 | 2008-09-03 |
| 1902066442 | David Carlton Shepherd | Internal Medicine | 5550 Vessey Rd, Colorado Springs, CO 80908-3288 | 2008-06-09 |
| 1831360585 | Munni Selagamsetty,md,pc | Internal Medicine | 2875 International Circle, Colorado Springs, CO 80910 | 2008-03-20 |
| 1023212602 | Catherine Noelle O'shea | Internal Medicine | 8501 Jacks Fork Dr, Colorado Springs, CO 80924-8117 | 2007-06-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
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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.