Douglas Kimball Henstrom (NPI# 1558333179, PAC ID# 4880627157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1558333179 |
| PAC ID by PECOS | 4880627157 |
| Professional Enrollment ID | I20170619001494 |
| Full Name | Douglas Kimball Henstrom |
| Organization Legal Name | UTAH PLASTIC SURGERY LLC |
| Address |
2255 N 1700 Suite 205 Layton UT 84041-1119 |
| Phone Number | 8017762220 |
| Gender | M |
| Credential | MD |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 2011 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3577830017 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2255 N 1700, Suite 205, Layton, UT 84041-1119 | 8017762220 | UTAH PLASTIC SURGERY LLC |
| Organization Legal Name | UTAH PLASTIC SURGERY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Street Address |
2255 N 1700 SUITE 205 |
| City | LAYTON |
| State | UT |
| Zip | 84041-1119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian L Hess | Ophthalmology | Michael D Washburn Md | 2255 N 1700, Suite 100, Layton, UT 84041-1148 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Mark Hill | Ophthalmology | Michael D Washburn Md | 2255 N 1700, Suite 100, Layton, UT 84041-1148 |
| Trevin R Wallin | Ophthalmology | Michael D Washburn Md | 2255 N 1700, Suite 100, Layton, UT 84041-1148 |
| Krystal Arnold | Qualified Audiologist | Ogden Clinic PC | 2255 N 1700, Suite 200, Layton, UT 84041-1187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Tracey W Jones | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Christopher M Lang | Psychiatry | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | LAYTON + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Douglas Kimball Henstrom.
| 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.