Telehealth Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TELEHEALTH MEDICAL GROUP

Practice address

11415 Slater Ave NE
Kirkland, WA 98033-4656

Phone

(425) 899-2525

NPI assigned

Dec 26, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bryn Jarald Henderson, DO

Title

Owner

Phone

(714) 639-4012

Specialties & licenses 1

Addresses

Tax ID family

Telehealth Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Telehealth Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Garden Grove, CA
  • NPI 1679083026
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Wong, FNP-C

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1073183547
  NPD (past)
• Martin C Nation, MD

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1548494248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1063928281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661643",
            "telephone_number": "714-639-4012",
            "fax_number": "714-639-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 SLATER AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334656",
            "telephone_number": "425-899-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEHEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BRYN",
        "authorized_official_middle_name": "JARALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-639-4012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Taylor
• Grace Taylor
• Richard Michael Taylor, LPN
• Colleen Tee
• Vivian Tejera, LICSW, LCSW
• Telehealth MH LLC
• Senait Besrat Tensae, RN
• Teresa K Kang DDS
• Teresa K Yagi DDS PLLC
• Teresa Richter ND PLLC

• Family Medicine Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.