Michael D Henderson D O LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO25674 Issued in OR

Legal business name

MICHAEL D HENDERSON D O LLC

Doing business as

Bachelor Butte Internal Medicine

Practice address

2855 NW Crossing Dr
Suite 101
Bend, OR 97701-7049

Phone

(541) 330-6003

NPI assigned

Jan 28, 2008

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mike D Henderson, DO

Title

Owner

Phone

(541) 330-6003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bachelor Butte Internal Medicine Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arden Jay Gage Jr., P.A.

  • Physician Assistant
  • Klamath Falls, OR
  • NPI 1699987164
  NPD (past)
• Carol Frost Lee, M.D.

  • Internal Medicine Physician
  • San Carlos, AZ
  • NPI 1801925565
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1841477239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 NW CROSSING DR",
            "address_2": "SUITE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017049",
            "telephone_number": "541-330-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 NW CROSSING DR",
            "address_2": "SUITE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017049",
            "telephone_number": "541-330-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D HENDERSON D O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-330-6003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO25674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287780",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bachelor Butte Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Lynn Meyers, RN
• Sharen Lynn Meyers, LCSW
• Katrina Suzanne Meynig, NP
• Ellie R Meyrowitz, PT
• Jeffrey Meyrowitz, M.D.
• Michael D Tobey DC PC
• Michael E Villano MD LLC
• Michael Hoffman Counseling
• Michael J. Mastrangelo PC (Bend Surgical Associates)
• Michael Yunker LLC

• Internal Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.