DR. CHRISTOPHER RYAN HENDERSON (NPI# 1821442427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821442427 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER RYAN HENDERSON |
| Credential | M.D. |
| Practice Address |
11511 Ne 10th St Bellevue WA 98004-8578 |
| Practice Telephone | 4255023000 |
| Practice Fax Number | 4255023589 |
| Mailing Telephone | 4255023000 |
| Mailing Fax Number | 4255023589 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD61044764 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Erwin Rd, Durham, NC 277054699 | 9196848111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518156884 | Christopher Henderson | Physical Therapist | 3306 E Hills Ct, Spokane, WA 99202-5352 | 2007-10-23 |
| 1538230388 | Christopher E Henderson | Oral & Maxillofacial Surgery | 11843 Sebastian Way, Suite 103, Rancho Cucamonga, CA 91730-0710 | 2006-11-13 |
| 1497840243 | Christopher A Henderson | Pharmacist | 5 Rope Ferry Rd, Hanover, NH 03755-1404 | 2006-10-04 |
| 1255348769 | Christopher Henderson | Acupuncturist | 3260 Beard Rd Ste 3, Napa, CA 94558-3466 | 2006-08-01 |
| 1588283519 | Christopher Henderson | Student in an Organized Health Care Education/Training Program | 2200 Childrens Way, 8161 Dot, Nashville, TN 37232 | 2020-04-09 |
| 1366093189 | Christopher L Henderson | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2019-09-23 |
| 1184287104 | Christopher Henderson | Pharmacist | 133 Sam Walton Ln, Castle Rock, CO 80104-7933 | 2019-04-16 |
| 1114300845 | Christopher Todd Henderson | Registered Nurse | 151 Peachwood Centre Dr, Spartanburg, SC 29301-2575 | 2015-06-30 |
| 1376940502 | Christopher Henderson | Physician Assistant | 90 Hope Dr, Bldg. 6000, Mountain Home Afb, ID 83648-1057 | 2014-12-03 |
| 1285058255 | Christopher Henderson | Physical Therapist | 540 S College Ave, Newark, DE 19713-1302 | 2014-02-12 |
| Street Address |
11511 NE 10TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-8578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811353 | Nicola Ullery | Registered Nurse | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2005-12-13 |
| 1083236400 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2020-05-07 |
| 1770142143 | Adrienne M Anderson | Social Worker | 11511 Ne 10th St, Bellevue, WA 98004 | 2019-06-10 |
| 1992360929 | Anthony Decicco | Pharmacist | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2019-05-06 |
| 1184182677 | Eva Linh | Pharmacist | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2019-03-04 |
| 1801367818 | Jue Wang | Nurse Practitioner | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-12-17 |
| 1508331331 | Daniel Edward Putlak | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-10-08 |
| 1336628486 | Bradley Allen Johnson | Nurse Anesthetist, Certified Registered | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-08-09 |
| 1982182275 | Madeline Anne Berry | Social Worker | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-07-30 |
| 1053802074 | Mixayphone Bounvilay | Advanced Practice Midwife | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| 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 |
|---|---|---|---|---|
| 1760646269 | Carla J. Bauman, Md | Dermatology | 1260 116th Ave Ne Ste 100, Bellevue, WA 98004-3800 | 2008-07-14 |
| 1023144094 | Samir P. Master | Dermatology | 832 102nd Ave Ne, Bellevue, WA 98004-4117 | 2007-02-26 |
| 1639278260 | Thomas W Weir | Dermatology | 1515 116th Ave Ne Ste 202, Bellevue, WA 98004-3811 | 2006-09-21 |
| 1922107523 | Ray A Carlsen | Dermatology | 2330 130th Ave Ne Ste 201, Bellevue, WA 98005-1756 | 2006-09-21 |
| 1316049331 | John Leo Winfield | Dermatology | 1551 116th Ave Ne, Bellevue, WA 98004 | 2006-09-01 |
| 1578673372 | Kyle Justin Garton | Dermatology | 2330 130th Ave Ne, Suite 201, Bellevue, WA 98005-1756 | 2006-08-30 |
| 1790793487 | Clive Maopang Liu | Dermatology | 1810 116th Ave Ne Ste 100, Bellevue, WA 98004 | 2006-08-04 |
| 1952365140 | Elizabeth Chandler Hughes | Dermatology | 626 120th Ave Ne, Ste B104, Bellevue, WA 98005-3077 | 2006-04-14 |
| 1699736843 | Diane S Chiu | Dermatology | 1200 112th Ave Ne Ste C187, Bellevue, WA 98004-3749 | 2006-03-29 |
| 1952381733 | Carla J Bauman | Dermatology | 626 120th Ave Ne Ste B104, Bellevue, WA 98005-3077 | 2006-01-18 |
| Find all providers in BELLEVUE | ||||
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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.