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KIMBERLY J HENDERSON M.D NPI 1366592859


NPI Information

NPI: 1366592859
Provider Name: KIMBERLY J HENDERSON, M.D
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1251 STAFFORD ST UNIT 6
MONROE, NC
ZIP 28110
Phone: (980) 290-5515
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Kimberly J Henderson, M.D is an emergency medicine in Monroe, NC with 24 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Kimberly J Henderson, M.D NPI is 1366592859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1251 STAFFORD ST UNIT 6
MONROE, NC
ZIP 28110-349
Phone: (980) 290-5515

The NPI 1366592859 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 1/10/2007 and was last updated on 11/3/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineMD15533RHODE ISLANDNo
2207P00000XEmergency Medicine4301110971MICHIGANNo
3207P00000XEmergency Medicine60922767WASHINGTONNo
4207P00000XEmergency Medicine01077015AINDIANANo
5207P00000XEmergency Medicine11085788-1205UTAHNo
6207P00000XEmergency MedicineMD043819DISTRICT OF COLUMBIANo
7207P00000XEmergency MedicineMD20776MAINENo
8207P00000XEmergency MedicineMD466064PENNSYLVANIANo
9207P00000XEmergency Medicine25MA09842100NEW JERSEYNo
10207P00000XEmergency Medicine54929CONNECTICUTNo
11207P00000XEmergency MedicineDO080667MARYLANDNo
12207PE0004XEmergency MedicineEmergency Medical Services232889NEW YORKNo
13207P00000XEmergency Medicine2020-00646NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102574490MEDICAIDNEW YORK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.