Timothy J Henderson (NPI# 1174571780, PAC ID# 5496782500) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1174571780 |
| PAC ID by PECOS | 5496782500 |
| Professional Enrollment ID | I20050720000698 |
| Full Name | Timothy J Henderson |
| Address |
610 E Blvd Black Hills Chiropractic Rapid City SD 57701-2902 |
| Phone Number | 6053423908 |
| Gender | M |
| Credential | DC |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2005 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 610 E Blvd, Black Hills Chiropractic, Rapid City, SD 57701-2902 | 6053423908 |
| Street Address |
610 E BLVD BLACK HILLS CHIROPRACTIC |
| City | RAPID CITY |
| State | SD |
| Zip | 57701-2902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S Gruba | Chiropractic | 610 E Blvd, Rapid City, SD 57701-2902 | |
| Ryan V Swenson | Chiropractic | 610 E Blvd, Rapid City, SD 57701-2902 | |
| Gregory M Lowenberg | Chiropractic | 610 E Blvd, Rapid City, SD 57701-2902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta A Kramlich | Psychologist, Clinical | R. P. Renka, M.d.,p.c. | 528 Qunicy St, Rapid City, SD 57701 |
| Ericka L Privitt | Nurse Practitioner | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Julie A Krein | Nurse Practitioner | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Vassilia D Young | Dermatology | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Richard P Renka | Psychiatry | R. P. Renka, M.d.,p.c. | 528 Qunicy St, Rapid City, SD 57701 |
| Danielle L Shafer | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Christine M Zambon | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Kenneth B Peterson | Family Medicine | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Cheryl L Reagan | Nurse Practitioner | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| David K Custis | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Find all physicians in zip 57701 | |||
| City | RAPID CITY |
| Zip Code | 57701 |
| Specialty | CHIROPRACTIC |
| City + Specialty | RAPID CITY + CHIROPRACTIC |
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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.