James Martin Henderson (NPI# 1295799963, PAC ID# 4284714973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1295799963 |
| PAC ID by PECOS | 4284714973 |
| Professional Enrollment ID | I20080108000226 |
| Full Name | James Martin Henderson |
| Organization Legal Name | DRS. ALLEN,KRAJEKIAN AND BROCK INC. |
| Address |
1215 Virginia St E Charleston WV 25301-2908 |
| Phone Number | 3043451092 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 5799736781 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1215 Virginia St E, Charleston, WV 25301-2908 | 3043451092 | DRS. ALLEN,KRAJEKIAN AND BROCK INC. |
| 100 A Prestige Park, Hurricane, WV 25526-8417 | 3047570272 | DRS. ALLEN,KRAJEKIAN AND BROCK INC. |
| Organization Legal Name | DRS. ALLEN,KRAJEKIAN AND BROCK INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin I Salgueiro | Maxillofacial Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Leonard F Allen | Maxillofacial Surgery | Drs. Allen,krajekian and Brock Inc. | 100 A Prestige Park, Hurricane, WV 25526-8417 |
| John E Brock | Maxillofacial Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Jose Gregorio Ravelo | Oral Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Steven W Ledford Jr. | Oral Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Jack I Krajekian | Maxillofacial Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Italo A Diprisco | Maxillofacial Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Street Address |
1215 VIRGINIA ST E |
| City | CHARLESTON |
| State | WV |
| Zip | 25301-2908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin I Salgueiro | Maxillofacial Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| John E Brock | Maxillofacial Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Jose Gregorio Ravelo | Oral Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Steven W Ledford Jr. | Oral Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Jack I Krajekian | Maxillofacial Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Italo A Diprisco | Maxillofacial Surgery | Drs. Allen,krajekian and Brock Inc. | 1215 Virginia St E, Charleston, WV 25301-2908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey N Thaxton | Plastic and Reconstructive Surgery | 505 Capitol St, Suite 100, Charleston, WV 25301-1204 | |
| Debra K Beatty | Clinical Social Worker | 600 Shrewsbury St, Suite 7, Charleston, WV 25301-1231 | |
| James White Caudill | Ophthalmology | West Virginia Eye Consultants LLC | 501 Summers St, Charleston, WV 25301-1239 |
| Christopher A Stansbury | Optometry | West Virginia Eye Consultants LLC | 501 Summers St, Charleston, WV 25301-1239 |
| Caleb Timothy Cart | Optometry | West Virginia Eye Consultants LLC | 501 Summers St, Charleston, WV 25301-1239 |
| Jeffrey V Ashley | Family Medicine | West Virginia University Medical Corporation Charleston Division | 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300 |
| Brittain Mcjunkin | Gastroenterology | West Virginia University Medical Corporation Charleston Division | 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300 |
| Rose Mary Ayoob | Pediatric Medicine | West Virginia University Medical Corporation Charleston Division | 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300 |
| Jesse Clanton | General Surgery | West Virginia University Medical Corporation Charleston Division | 501 Morris St, 3rd Floor East, Charleston, WV 25301-1300 |
| Emily Anne Montgomery | Obstetrics/gynecology | West Virginia University Medical Corporation Charleston Division | 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300 |
| Find all physicians in zip 25301 | |||
| City | CHARLESTON |
| Zip Code | 25301 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | CHARLESTON + MAXILLOFACIAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.