MR. REINO ARNOLD HENDERSON PA-C NPI 1164487146

NPI Information

NPI: 1164487146
Provider Name: MR. REINO ARNOLD HENDERSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
10301 KANIS RD
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 604-6900
Get Directions

MR. Reino Arnold Henderson, PA-C is a medical physician assistant in Little Rock, AR. MR. Reino Arnold Henderson, PA-C NPI is 1164487146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10301 KANIS RD
LITTLE ROCK, AR
ZIP 72205-205
Phone: (501) 604-6900
Fax: (501) 604-3220

The NPI 1164487146 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 6/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		4995	ARIZONA	No
2	363AM0700X	Physician Assistant	Medical	2904	ARIZONA	No
3	363AS0400X	Physician Assistant	Surgical	PA252	ARKANSAS	No
4	363AS0400X	Physician Assistant	Surgical	2904	ARIZONA	No
5	363AM0700X	Physician Assistant	Medical	PA252	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	386576YNV5	MEDICARE PIN	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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