DAVID EUGENE HENDERSON (NPI# 1902804560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902804560 |
| Entity Type | Individual |
| Full Name | DAVID EUGENE HENDERSON |
| Credential | D.P.M. |
| Practice Address |
1 Carpet Alley Madison IN 47250 |
| Mailing Address |
1 Carpet Aly Madison IN 47250-3562 |
| Practice Telephone | 8122652011 |
| Practice Fax Number | 8122731769 |
| Mailing Telephone | 8122652011 |
| Mailing Fax Number | 8122731769 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2017-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 07000436A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE DME | 257980A | 01 |
| IN | 100148890A | 05 | |
| IN | MEDICARE DME | 411730 | 01 |
| TAX ID | 35-1787467 | 01 | |
| ANTHEM BCBS | 000000087922 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962644492 | David Kelso Henderson | Internal Medicine | Room 6 1480 Bldg 10, 10 Center Drive, Bethesda, MD 20892-0001 | 2009-03-30 |
| 1346400249 | David Duff Henderson | Psychiatry & Neurology | 1033 El Camino Real, Atascadero, CA 93422 | 2008-06-13 |
| 1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
| 1992820773 | David J Henderson | Dentist | 857 S Auto Mall Rd, Bloomington, IN 47401-5447 | 2007-03-20 |
| 1578600227 | David J Henderson | Pediatrics | 2507 Battleground Ave, Suite B, Greensboro, NC 27408-4003 | 2007-01-31 |
| 1831245893 | David L Henderson | Psychiatry & Neurology | 5910 N Central Expy, Suite 790, Dallas, TX 75206-5125 | 2007-01-25 |
| 1306995527 | David Henderson | Internal Medicine | 531 Polk 77, Mena, AR 71953-7848 | 2007-01-09 |
| 1972679868 | David William Henderson | Pharmacist | 523 First St, Glasgow, MO 65254 | 2006-11-24 |
| 1215027289 | David T Henderson | Counselor | 301-a Palmetto Park Blvd, Lexington, SC 29072 | 2006-10-13 |
| 1700838570 | David V Henderson | Family Medicine | 312 S Maple St, Garnett, KS 66032 | 2006-05-17 |
| Street Address |
1 CARPET ALLEY |
| City | MADISON |
| State | IN |
| Zip Code | 47250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682515 | Feltz Vision Center Ms LLC | Podiatrist | 7716 Old Canton Rd Ste C, Madison, MS 39110-9299 | 2018-09-11 |
| 1376718148 | Georgia Foot & Ankle, P.C. | Podiatrist | 1075 S Main Street, Suite 200, Madison, GA 30650-2049 | 2008-04-23 |
| 1518185511 | Associated Podiatrists, LLP | Podiatrist | 2830 Dryden Drive, Suite 102, Madison, WI 53704 | 2007-04-23 |
| 1811069230 | Eugene S. Pawlak | Podiatrist | 160 Demaree Dr, Madison, IN 47250-4622 | 2006-11-14 |
| 1770688558 | Mohammad Reza Parsa | Podiatrist | 980 Highway 51, Ste B, Madison, MS 39110 | 2006-09-14 |
| 1538279658 | Angelo Del Priore | Podiatrist | 100 Kings Rd, Madison, NJ 07940 | 2006-08-30 |
| 1093731457 | Narin G. Singer | Podiatrist | 102 Essex Ct Ste D, Madison, AL 35758-3161 | 2006-07-15 |
| 1396796116 | Wilnelsia A Awoniyi | Podiatrist | 500 Gooch Ln, Madison, AL 35758-9732 | 2006-05-15 |
| 1073577854 | Steven J. Merckx | Podiatrist | 6661 Odana Road, Madison, WI 53719 | 2006-04-17 |
| 1902890577 | Robert J Barr | Podiatrist | 840 N Lake St, Madison, OH 44057-2948 | 2005-09-09 |
| Find all providers in MADISON | ||||
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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.