Travis R Henderson (NPI# 1700222437, PAC ID# 7113166331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1700222437 |
| PAC ID by PECOS | 7113166331 |
| Professional Enrollment ID | I20130620000016 |
| Full Name | Travis R Henderson |
| Organization Legal Name | PHYSICIANS IMMEDIATE CARE AND MEDICAL CENTERS INC PS |
| Address |
310 Torbett St Richland WA 99354-2604 |
| Phone Number | 5099467646 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7618865775 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8901 W Gage Blvd, Kennewick, WA 99336-7148 | 5097351100 | CENTER FOR EXCELLENCE IN DERMATOLOGY PLLC |
| 310 Torbett St, Richland, WA 99354-2604 | 5099467646 | PHYSICIANS IMMEDIATE CARE AND MEDICAL CENTERS INC PS |
| Organization Legal Name | PHYSICIANS IMMEDIATE CARE AND MEDICAL CENTERS INC PS |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Hernandez | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Rachel M Gorham | Nurse Practitioner | Physicians Immediate Care and Medical Centers Inc Ps | 1516 Jadwin Ave, Richland, WA 99354-2902 |
| Kevin J Molander | Family Medicine | Physicians Immediate Care and Medical Centers Inc Ps | 550 Gage Blvd, Suite 2, Richland, WA 99352-9528 |
| Charles L Nelson | Family Medicine | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Martin J Coker | Family Medicine | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Patricia Anne Neuman | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Javier A Huerta | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Jamera A Thompson | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Timothy Lawson Salvos | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Paul F Maiocco | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Street Address |
310 TORBETT ST |
| City | RICHLAND |
| State | WA |
| Zip | 99354-2604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Hernandez | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Charles L Nelson | Family Medicine | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Martin J Coker | Family Medicine | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Patricia Anne Neuman | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Javier A Huerta | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Jamera A Thompson | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Timothy Lawson Salvos | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Paul F Maiocco | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Randall S Clower | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Douglas Walter Crawford | Family Medicine | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naughne La Vonne Boyd | Clinical Psychologist | 2401 Alexander Ave, Richland, WA 99354-1649 | |
| Andrew Dean Carrell | Physical Therapy | Oasis Physical Therapy Pllc | 2460 Garlick Blvd B, Richland, WA 99354-1786 |
| Simona G Marie | General Practice | 1745 Pike Ave, Richland, WA 99354-2295 | |
| Scott C Whitemarsh | Chiropractic | 1903 George Washington Way, Richland, WA 99354-2307 | |
| Michael S Anglesey | Chiropractic | 300 Torbett St, Richland, WA 99354-2604 | |
| Bobby None Linares | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| William S Waites | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Randall D Cobble | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Chaunce E Ruff | Physician Assistant | Physicians Immediate Care and Medical Centers Inc Ps | 310 Torbett St, Richland, WA 99354-2604 |
| Jannet Loesa Calvert | Optometry | 214 Torbett St, Suite A, Richland, WA 99354-2651 | |
| Find all physicians in zip 99354 | |||
| City | RICHLAND |
| Zip Code | 99354 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RICHLAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Travis R 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.