ANDREW H. HENDERSON III (NPI# 1760417216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760417216 |
| Entity Type | Individual |
| Full Name | ANDREW H. HENDERSON III |
| Credential | M.D |
| Practice Address |
1221 S Broadway Lexington KY 40504-2701 |
| Practice Telephone | 8592584565 |
| Practice Fax Number | 8592584870 |
| Mailing Telephone | 8592584565 |
| Mailing Fax Number | 8592584870 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19017 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICAID LAB GRP | 37903705 | 01 |
| KY | 64190176 | 05 | |
| KY | MEDICARE LAB GRP | 4000501 | 01 |
| GA | RR MEDICARE GRP | CB5773 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124768 | Andrew Todd Henderson | Counselor | 1 Detroit Metro Airport, Detroit, MI 48242-1004 | 2020-01-29 |
| 1952454951 | Andrew Damrell Henderson | Acupuncturist | 1136 Alpine Ave, Suite 210, Boulder, CO 80304-3405 | 2007-01-21 |
| 1164043972 | Andrew Henderson | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-04 |
| 1699328013 | Andrew Henderson | Optometrist | 14701 N Santa Fe Ave, Edmond, OK 73013-3411 | 2019-07-24 |
| 1033776869 | Andrew Henderson | Physical Therapy Assistant | 400 E Howry Ave, Deland, FL 32724-5400 | 2019-05-28 |
| 1962972711 | Andrew Henderson | Counselor | 2500 W Manchester Blvd, Inglewood, CA 90305-2520 | 2018-12-04 |
| 1447734132 | Andrew Chase Henderson | Dentist | 11808 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2018-09-19 |
| 1437650496 | Andrew B Henderson | Counselor | 107 W 11th St, Delta, CO 81416-1811 | 2018-02-26 |
| 1447775275 | Andrew Henderson | Pharmacist | 3320 S 23rd St, Tacoma, WA 98405-1603 | 2017-08-14 |
| 1023491230 | Andrew Thomas Henderson | Orthopaedic Surgery | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2015-07-07 |
| Street Address |
1221 S BROADWAY |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060779 | Nancy L. Burandt | Anesthesiology | 1221 S Broadway, Lexington, KY 40504-2701 | 2005-06-01 |
| 1578197901 | Ashlee N Swinford | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2020-02-25 |
| 1104459569 | Sarah M Justice | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2020-02-13 |
| 1447803754 | New Lexington Clinic, Psc | Dietitian, Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2019-07-17 |
| 1346724473 | New Lexington Clinic Psc | Internal Medicine | 1221 S Broadway, Lexington, KY 40504-2701 | 2018-09-25 |
| 1790290831 | Ashley B Arrington | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2017-12-12 |
| 1306365762 | Kelsey Alexandra Woods | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504-2701 | 2017-09-16 |
| 1013466523 | Lauren Dice Smith | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504 | 2016-09-26 |
| 1073061768 | Krista Johnson | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504-2701 | 2016-09-12 |
| 1770945560 | Bethany Borders | Dietitian, Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| 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 |
|---|---|---|---|---|
| 1356970941 | Care Coordinates Inc | Internal Medicine | 136 Laconia St, Lexington, MA 02420-2252 | 2020-04-06 |
| 1518594282 | Integra-telemedicine | Internal Medicine | 4108 Clearwater Way, Lexington, KY 40515-6000 | 2020-03-24 |
| 1104383322 | New Dawn 365 Centers Pllc | Internal Medicine | 2101 Wiltshire Pl, Lexington, KY 40515-1167 | 2019-02-24 |
| 1245728054 | Lexington Medical Group Corp | Internal Medicine | 2276 Barnwell Ln, Lexington, KY 40513-1245 | 2018-04-26 |
| 1295257921 | Oriana Fabiola Ramirez Alvarado | Internal Medicine | Uk Bluegrass Care Clinic, 740 S Limestone Ste L504, Lexington, KY 40536 | 2017-07-14 |
| 1699221291 | Kavya Sudanagunta | Internal Medicine | 800 Rose St # Hx315, Lexington, KY 40536-7001 | 2016-09-01 |
| 1003362245 | Baird Transitions Mht LLC | Internal Medicine | 317 Ruth Vista Road, Lexington, SC 29073-8628 | 2016-08-28 |
| 1003268392 | Deepali Pandey | Internal Medicine | 800 Rose St # Cc-402, Lexington, KY 40536-0293 | 2016-07-11 |
| 1952763146 | Kelsey Thompson | Internal Medicine | 740 S Limestone Third Floor Wing D Suite L305, Lexington, KY 40536-0293 | 2016-03-25 |
| 1316309859 | Priya Shankar Srivastava | Internal Medicine | Internal Medicine Pediatrics, 900 S. Limestone, Ctw 304, Lexington, KY 40536-0001 | 2016-03-23 |
| Find all providers in LEXINGTON | ||||
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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.