John Michael Henderson in Jackson - Surgery
John Michael Henderson - NPI 1295771715
John Michael Henderson is a Surgery in Jackson, Mississippi. John Michael Henderson practices all healthcare services and medical treatments related to Surgery. The NPI Number for John Michael Henderson is 1295771715. The last update date is 2015-09-17.
John Michael Henderson's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018154700 and fax number 6018155474. The mailing address for John Michael Henderson is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Michael Henderson |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6018154700 |
| Fax Number | 6018155474 |
| Sole Proprietor | N |
| Credentials | MB, CHB, F |
NPI Number Detail
| NPI Number | 1295771715 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2015-09-17 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39216 |
| Phone Number | 6018154700 |
| Fax Number | 6018155474 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 35063394H |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 887296 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Michael Henderson by the Centers for Medicare & Medicaid Services (CMS)?
The John Michael Henderson has been assigned the NPI (National Provider Identifier) 1295771715. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the John Michael Henderson's physical address?
The John Michael Henderson is physically located at 2500 N State St, in the city of Jackson, MS, with the postal code 39216.
What is the John Michael Henderson's area of specialization and corresponding taxonomy classification?
The John Michael Henderson's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the John Michael Henderson receive its 1295771715 assignment from the Centers for Medicare & Medicaid Services?
The John Michael Henderson was assigned its 1295771715 by the Centers for Medicare & Medicaid Services on 2006-06-22.
When was the information pertaining to John Michael Henderson most recently updated or revised?
The details related to John Michael Henderson, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-17.
NPI Number: 1194728337
Address: 5430 Fredericksburg Rd, San Antonio, TX