DR. JEFFREY THOMAS HENDERSON (NPI# 1942465026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942465026 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY THOMAS HENDERSON |
| Credential | M.D. |
| Practice Address |
1300 N 12th St Ste 300 Phoenix AZ 85006-2813 |
| Mailing Address |
3020 E Camelback Rd Suite 301 Phoenix AZ 85016 |
| Practice Telephone | 6026874768 |
| Practice Fax Number | 6026877683 |
| Mailing Telephone | 6022649100 |
| Mailing Fax Number | 6022649101 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2017-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
37533 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194860171 | Jeffrey Henderson | Physical Therapist | 107 Pinkerton Dr, Beaver, PA 15009-1213 | 2007-02-20 |
| 1598856049 | Jeffrey A. Henderson | Internal Medicine | 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2006-09-28 |
| 1528026978 | Jeffrey Lynn Henderson | Emergency Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2006-05-03 |
| 1912988007 | Jeffrey Mark Henderson | Pediatrics | 430 W Bandera Rd Ste 9, Boerne, TX 78006-2521 | 2005-11-07 |
| 1578111258 | Jeffrey Lee Henderson Jr. | Pharmacist | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-08-27 |
| 1164994638 | Jeffrey N Henderson | Peer Specialist | 149 W 12th Ave, Eugene, OR 97401-3408 | 2018-12-21 |
| 1326315185 | Jeffrey Coleman Henderson | Case Manager/Care Coordinator | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2011-11-22 |
| 1235386848 | Jeffrey Harris Henderson | Family Medicine | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2008-08-26 |
| 1821173899 | Jeffrey Scott Henderson | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2006-10-26 |
| 1649354572 | Jeffrey W Henderson | Internal Medicine | 200 Center Street, Ludlow, MA 01056 | 2006-10-25 |
| Street Address |
1300 N 12TH ST STE 300 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609434794 | Peak Diagnostic Services LLC | Pathology | 3033 N 44th St Ste 200, Phoenix, AZ 85018-7244 | 2019-06-03 |
| 1407164486 | Aztec Pathology LLC | Pathology | 2538 E University Dr Ste 100, Phoenix, AZ 85034-6925 | 2010-09-23 |
| 1063666543 | Renuka Pathi | Pathology | 22216 N 36th St, Phoenix, AZ 85050-7396 | 2008-11-10 |
| 1982703757 | Christina Irene Fredenberg | Pathology | 9250 No. 3rd St., Suite 4000, Phoenix, AZ 85020 | 2006-09-21 |
| 1942316161 | Western Pathology Associates, Ltd. | Pathology | 9250 N. 3rd St, Suite 4000, Phoenix, AZ 85020 | 2006-08-21 |
| 1881651701 | Clarke David Kareus Lambe | Pathology | 9250 N 3rd St., Ste 4000, Phoenix, AZ 85020 | 2006-04-26 |
| 1699744169 | Thaddeus Khachaturian | Pathology | 15612 N 32nd St, Ste. #3, Phoenix, AZ 85032-3859 | 2006-03-16 |
| 1891765897 | Mark Kartub | Pathology | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2006-01-24 |
| 1871575746 | Thomas V Colby | Pathology | 424 S 56th St Ste 120, Phoenix, AZ 85034-2177 | 2005-11-16 |
| 1114911211 | David Albert Bryant | Pathology | 4610 South 44th Place, Phoenix, AZ 85040-4010 | 2005-09-02 |
| Find all providers in PHOENIX | ||||
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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.