| Dr Jonathan Lewis Henderson, MD | |
|
234 Goodman St, Cincinnati, OH 45219-2364 | |
| (513) 475-8523 | |
| (513) 475-7327 |
| Full Name | Dr Jonathan Lewis Henderson |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 17 Years |
| Location | 234 Goodman St, Cincinnati, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497910459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 35 130416 (Ohio) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 35 130416 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Choice Homecare | Palestine, TX | Home health agency |
| Kelton Hospice Inc | Atlanta, TX | Hospice |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Christus Mother Frances Hospital- Jacksonville | Jacksonville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| Northeast Texas Intensivists, Pllc | 5092167528 | 48 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Northeast Texas Intensivists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497536676 PECOS PAC ID: 5092167528 Enrollment ID: O20240119001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Lewis Henderson, MD Po Box 636256, Central Credentialing, Cincinnati, OH 45263-6256 Ph: (513) 245-3104 | Dr Jonathan Lewis Henderson, MD 234 Goodman St, Cincinnati, OH 45219-2364 Ph: (513) 475-8523 |
Moises Arturo Huaman Joo, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman Street, Cincinnati, OH 45219 Phone: 513-584-6977 Fax: 513-584-4281 | |
Dr. Kiranmayee Lanka, M.D., M.P.H Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2123 Auburn Ave, Suite 401, Cincinnati, OH 45219 Phone: 513-241-5489 Fax: 513-241-5490 | |
Dr. Saurabh Chandra, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-1000 | |
Chirag Thakor Patel, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3219 Clifton Ave Ste 330, Cincinnati, OH 45220 Phone: 513-853-9250 Fax: 513-281-1908 | |
Sorina M Macavei, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 463 Ohio Pike, Suite 300, Cincinnati, OH 45255 Phone: 513-528-5600 Fax: 513-528-9716 | |
Helen K Koselka, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 3219 Clifton Ave, Suite 100, Cincinnati, OH 45220 Phone: 513-528-5600 Fax: 513-528-9716 | |
Loren H Cohen, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 4750 E Galbraith Rd Ste 103, Cincinnati, OH 45236 Phone: 513-791-2137 Fax: 513-791-2151 |