Jolene B Henshaw (NPI# 1164549978, PAC ID# 7719058916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1164549978 |
| PAC ID by PECOS | 7719058916 |
| Professional Enrollment ID | I20080616000534 |
| Full Name | Jolene B Henshaw |
| Organization Legal Name | MONTGOMERY SURGERY ASSOCIATES LLC |
| Address |
809 Davis St Blacksburg VA 24060-7013 |
| Phone Number | 5409510780 |
| Gender | F |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 6204871312 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| 490048 | LEWISGALE MEDICAL CENTER |
| 491302 | CARILION GILES COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3700 S Main St, Blacksburg, VA 24060-7017 | 5409511111 | MONTGOMERY SURGERY ASSOCIATES LLC |
| 801 Davis St, Blacksburg, VA 24060-7022 | MONTGOMERY SURGERY ASSOCIATES LLC | |
| 809 Davis St, Blacksburg, VA 24060-7013 | 5409510780 | MONTGOMERY SURGERY ASSOCIATES LLC |
| 1900 Electric Rd, Salem, VA 24153-7474 | 5407764000 | MONTGOMERY SURGERY ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 100% | |
| MIPS_EC_023_overall | Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% |
| Organization Legal Name | MONTGOMERY SURGERY ASSOCIATES LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Sinclair | Gastroenterology | Montgomery Surgery Associates LLC | 817 Davis St, Blacksburg, VA 24060-7004 |
| Jason Fowlkes | General Surgery | Montgomery Surgery Associates LLC | 801 Davis St, Suite 1, Blacksburg, VA 24060-7022 |
| David Stoeckle | General Surgery | Montgomery Surgery Associates LLC | 809 Davis St, Blacksburg, VA 24060-7013 |
| Kelly H Finnegan | Physician Assistant | Montgomery Surgery Associates LLC | 817 Davis St, Blacksburg, VA 24060-7004 |
| Christopher M Hicks | Urology | Montgomery Surgery Associates LLC | 801 Davis St, Blacksburg, VA 24060-7022 |
| Shyama D Wickramaaratchi | Cardiovascular Disease (cardiology) | Montgomery Surgery Associates LLC | 830 Davis St, Blacksburg, VA 24060-7010 |
| Street Address |
809 DAVIS ST |
| City | BLACKSBURG |
| State | VA |
| Zip | 24060-7013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Leipzig | Orthopedic Surgery | Lewis Gale Physicians LLC | 809 Davis St, Suite Ste1, Blacksburg, VA 24060-7013 |
| Micah W I Jones | Hand Surgery | Lewis Gale Physicians LLC | 809 Davis St, Suite Ste1, Blacksburg, VA 24060-7013 |
| Mary Elizabeth N Tekesky | Physician Assistant | Southwest Virginia Orthopedic and Spine LLC | 809 Davis St, Suite 2, Blacksburg, VA 24060-7013 |
| David Stoeckle | General Surgery | Montgomery Surgery Associates LLC | 809 Davis St, Blacksburg, VA 24060-7013 |
| Stuart A Gardner | Orthopedic Surgery | Southwest Virginia Orthopedic and Spine LLC | 809 Davis St, Suite 2, Blacksburg, VA 24060-7013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Kristopher Joel Hansen | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Michele Lee Keesling | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Charlene M Jordan | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Amy Ratcliffe Butler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Heather L Bayless | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Mazen I Madhoun | Family Medicine | 3400 Southpoint Dr, Blacksburg, VA 24060-1261 | |
| Glenda Beekmann Ball | Nurse Practitioner | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Avery M Matthews | Psychiatry | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Lynn M Bever | Psychologist, Clinical | 1501 Lark Ln, Blacksburg, VA 24060-2658 | |
| Find all physicians in zip 24060 | |||
| City | BLACKSBURG |
| Zip Code | 24060 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BLACKSBURG + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jolene B Henshaw.
| 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.