Michael Henderson (NPI# 1518166354, PAC ID# 4880863125) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1518166354 |
| PAC ID by PECOS | 4880863125 |
| Professional Enrollment ID | I20160826000793 |
| Full Name | Michael Henderson |
| Organization Legal Name | ST DAVIDS HEART AND VASCULAR PLLC |
| Address |
1900 Scenic Dr Suite 3308 Georgetown TX 78626-7876 |
| Phone Number | 5128692566 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7012821879 |
| Number of Group Practice Members | 136 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670004 | ST MARKS MEDICAL CENTER |
| 450431 | ST DAVID'S MEDICAL CENTER |
| 450370 | COLUMBUS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7876 | 5128692566 | ST DAVIDS HEART AND VASCULAR PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ST DAVIDS HEART AND VASCULAR PLLC |
| Physicians | 132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Anne Brown | Nurse Practitioner | St Davids Heart and Vascular Pllc | 4316 James Casey St, Austin, TX 78745-1116 |
| Joshua Mckay | Interventional Cardiology | St Davids Heart and Vascular Pllc | 800 W Central Expy, Suite 355, Harker Heights, TX 76548 |
| Neva Marie Schmelzer | Nurse Practitioner | St Davids Heart and Vascular Pllc | 2200 Park Bend, Suite 401, Austin, TX 78758-5509 |
| Benjamin R Winders | Internal Medicine | St Davids Heart and Vascular Pllc | 12221 N Mopac Expy, 1st Floor N, Austin, TX 78758-2401 |
| Tiphany R Price | Nurse Practitioner | St Davids Heart and Vascular Pllc | 1330 Wonder World Dr, Suite 104, San Marcos, TX 78666-7566 |
| Carl Carlino | Cardiovascular Disease (cardiology) | St Davids Heart and Vascular Pllc | 11149 Research Blvd, Austin, TX 78759-5279 |
| Edward R Chafizadeh | Cardiovascular Disease (cardiology) | St Davids Heart and Vascular Pllc | 1015 E 32nd St, Suite 508, Austin, TX 78705-2793 |
| Thomas N Tracey | Cardiovascular Disease (cardiology) | St Davids Heart and Vascular Pllc | 331 Sportsplex Dr, Suite A, Dripping Springs, TX 78620-5350 |
| David D Swett Jr. | Cardiovascular Disease (cardiology) | St Davids Heart and Vascular Pllc | 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7876 |
| Robert J Wozniak | Interventional Cardiology | St Davids Heart and Vascular Pllc | 7215 Wyoming Springs Dr Building 1, 100 Texas Cardiac Arrhythmia, Round Rock, TX 78681-4312 |
| Street Address |
1900 SCENIC DR SUITE 3308 |
| City | GEORGETOWN |
| State | TX |
| Zip | 78626-7876 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David D Swett Jr. | Cardiovascular Disease (cardiology) | St Davids Heart and Vascular Pllc | 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7876 |
| Abhijeet V Koli | Cardiovascular Disease (cardiology) | St Davids Heart and Vascular Pllc | 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7876 |
| Mary A. Evers | Dermatology | Texas Dermatology Center Pllc | 1900 Scenic Dr, Suite 2208, Georgetown, TX 78626-7703 |
| Sudeep D Burman | General Surgery | 1900 Scenic Dr, Suite 2222, Georgetown, TX 78626-7703 | |
| Stephen H Garland | Cardiovascular Disease (cardiology) | St Davids Heart and Vascular Pllc | 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7876 |
| Audrey N Nguyen | Pulmonary Disease | Georgetown Pulmonary Associates, P.a. | 1900 Scenic Dr, Suite 2220, Georgetown, TX 78626-7703 |
| Manish S Chauhan | Interventional Cardiology | St Davids Heart and Vascular Pllc | 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7876 |
| Michael G Shroth Jr. | Nurse Practitioner | Urology Austin, Pllc | 1900 Scenic Dr, Suite 2222, Georgetown, TX 78626-7703 |
| Thomas R Mcminn Jr. | Interventional Cardiology | St Davids Heart and Vascular Pllc | 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7876 |
| Dominic R Dekeratry | Pulmonary Disease | Georgetown Pulmonary Associates, P.a. | 1900 Scenic Dr, Suite 2220, Georgetown, TX 78626-7703 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dewayne M Mirtsching | Chiropractic | 3780 Fm, Suite 972, Georgetown, TX 78626-1501 | |
| Jamie L Jones | Nurse Practitioner | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Julie A Huela | Physician Assistant | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Amanda Lindo | Nurse Practitioner | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Clifford F Porter | Family Medicine | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Ariel L Rennspies | Physician Assistant | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Dorian Shevitz | Physician Assistant | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Lori D Palmer | Optometry | 900 N Austin Ave, Suite 605, Georgetown, TX 78626-4356 | |
| Olaf Russell Garcia | Nurse Practitioner | Jason Martin Medical Consulting LLC | 121 Fm, Suite 971, Georgetown, TX 78626-4546 |
| Mary Okiomah | Nurse Practitioner | Jason Martin Medical Consulting LLC | 121 Fm, Suite 971, Georgetown, TX 78626-4546 |
| Find all physicians in zip 78626 | |||
| City | GEORGETOWN |
| Zip Code | 78626 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | GEORGETOWN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Michael Henderson.
| 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.