Lee A Henderson (NPI# 1417953118, PAC ID# 5890778302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1417953118 |
| PAC ID by PECOS | 5890778302 |
| Professional Enrollment ID | I20040607001571 |
| Full Name | Lee A Henderson |
| Organization Legal Name | PATHOLOGY CONSULTANTS INC |
| Address |
1701 S Creasy Lane Lafayette IN 47905-4972 |
| Phone Number | 2198793586 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1980 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 2466352208 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150109 | FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST |
| 150022 | FRANCISCAN HEALTH CRAWFORDSVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1701 S Creasy Lane, Lafayette, IN 47905-4972 | 2198793586 | PATHOLOGY CONSULTANTS INC |
| Organization Legal Name | PATHOLOGY CONSULTANTS INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Michael Jovonovich | Pathology | Pathology Consultants Inc | 2434 Interstate Plaza Dr, Hammond, IN 46324-3361 |
| Richard N Rosales | Pathology | Pathology Consultants Inc | 422 Franklin St, Michigan City, IN 46360-3385 |
| Reshma Ariga | Pathology | Pathology Consultants Inc | 5454 S Hohman Ave, Hammond, IN 46320-1931 |
| Jie Song | Pathology | Pathology Consultants Inc | 422 Franklin St, Michigan City, IN 46360-3385 |
| Glyn A Porter | Pathology | Pathology Consultants Inc | 422 Franklin St, Michigan City, IN 46360-3385 |
| Andrew J Evanger | Pathology | Pathology Consultants Inc | 1650 Cowles St, Fairbanks, AK 99701-5907 |
| Philip W Mcguire | Pathology | Pathology Consultants Inc | 422 Franklin St, Michigan City, IN 46360-3385 |
| Gregory D Novak | Pathology | Pathology Consultants Inc | 1650 Cowles St, Fairbanks, AK 99701-5907 |
| Jun Hu | Pathology | Pathology Consultants Inc | 422 Franklin St, Michigan City, IN 46360-3385 |
| David Cheng | Pathology | Pathology Consultants Inc | 1201 S Main St, Crown Point, IN 46307-8481 |
| Street Address |
1701 S CREASY LANE |
| City | LAFAYETTE |
| State | IN |
| Zip | 47905-4972 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deonn Michelle Chesterson | Nurse Practitioner | Franciscan Physician Network | 1701 S Creasy Lane, Lafayette, IN 47905-4972 |
| Vickie Sue Allison | Nurse Practitioner | Franciscan Physician Network | 1701 S Creasy Lane, Lafayette, IN 47905-4972 |
| Samantha Kay Carney | Nurse Practitioner | Franciscan Physician Network | 1701 S Creasy Lane, Lafayette, IN 47905-4972 |
| Anne Heinold | Nurse Practitioner | Franciscan Physician Network | 1701 S Creasy Lane, Lafayette, IN 47905-4972 |
| Deidre L Dudley | Nurse Practitioner | Franciscan Physician Network | 1701 S Creasy Lane, Lafayette, IN 47905-4972 |
| Adel S Yaacoub | Cardiovascular Disease (cardiology) | Franciscan Physician Network | 1701 S Creasy Lane, Lafayette, IN 47905-4972 |
| Cynthia J Modlin-adams | Nurse Practitioner | Franciscan Physician Network | 1701 S Creasy Lane, Lafayette, IN 47905-4972 |
| Joseph Everett West | Urology | Franciscan Physician Network | 1701 S Creasy Lane, Lafayette, IN 47905-4972 |
| Jomil Villasmil | Family Medicine | Franciscan Physician Network | 1701 S Creasy Lane, Lafayette, IN 47905-4972 |
| Lindsay Michelle Vanlaere | Nurse Practitioner | Franciscan Physician Network | 1701 S Creasy Lane, Lafayette, IN 47905-4972 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
| Melissa A Gwin | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Vishal Viswam | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Sonia B Yballe | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Azubike Nwokedi | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Kathleen Jane Halverson | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Timothy Poquette | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Morgan Amelia Mccormick | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Olaniyi O Osuntokun | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Katherine M Hafer | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Find all physicians in zip 47905 | |||
| City | LAFAYETTE |
| Zip Code | 47905 |
| Specialty | PATHOLOGY |
| City + Specialty | LAFAYETTE + PATHOLOGY |
Please comment or provide details below to improve the information on Lee A 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.