Theodore B Hennig (NPI# 1417023144, PAC ID# 4385699644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1417023144 |
| PAC ID by PECOS | 4385699644 |
| Professional Enrollment ID | I20050322000108 |
| Full Name | Theodore B Hennig |
| Organization Legal Name | HENNIG WOODBURY AND HOWARD PC |
| Address |
4350 Fashion Square Blvd Saginaw MI 48603-1249 |
| Phone Number | 9897997128 |
| Gender | M |
| Credential | DDS |
| Graduation Year | 1991 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 3577518828 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230029 | ST JOSEPH MERCY OAKLAND |
| Address | Phone | Organization |
|---|---|---|
| 4 Columbus Ave, Suite 150, Bay City, MI 48708-6405 | 9898933090 | HENNIG WOODBURY AND HOWARD PC |
| 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 | 9897997128 | HENNIG WOODBURY AND HOWARD PC |
| Organization Legal Name | HENNIG WOODBURY AND HOWARD PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnathan T Howard | Maxillofacial Surgery | Hennig Woodbury and Howard PC | 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 |
| Scott C Woodbury | Maxillofacial Surgery | Hennig Woodbury and Howard PC | 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 |
| Ehsan Y Sharaf-eldeen | Maxillofacial Surgery | Hennig Woodbury and Howard PC | 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 |
| Street Address |
4350 FASHION SQUARE BLVD |
| City | SAGINAW |
| State | MI |
| Zip | 48603-1249 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnathan T Howard | Maxillofacial Surgery | Hennig Woodbury and Howard PC | 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 |
| Scott C Woodbury | Maxillofacial Surgery | Hennig Woodbury and Howard PC | 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 |
| Ehsan Y Sharaf-eldeen | Maxillofacial Surgery | Hennig Woodbury and Howard PC | 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Stathakios Jr. | Physical Medicine and Rehabilitation | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Marcella S Welker | Nurse Practitioner | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Carolyn D Leadholm Wittke | Nurse Practitioner | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Ed Y Atty | Physical Medicine and Rehabilitation | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Paul A Laclair | Physical Medicine and Rehabilitation | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Matthew D Eagleson | Anesthesiology | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Michael D Papenfuse | Anesthesiology | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Nicole A Darling | Nurse Practitioner | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Brook R Mcdougall | Nurse Practitioner | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Todd A Crawford | Certified Registered Nurse Anesthetist | Matrix Anesthesia Plc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Find all physicians in zip 48603 | |||
| City | SAGINAW |
| Zip Code | 48603 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | SAGINAW + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Theodore B Hennig.
| 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.