DR. JAMES HENDERSON MD NPI 1588676597

NPI Information

NPI: 1588676597
Provider Name: DR. JAMES HENDERSON, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: MISSISSIPPI BAND OF CHOCTAW INDIANS

PECOS Registration: Yes

Address:
1201 22ND AVE STE C
MERIDIAN, MS
ZIP 39301
Phone: (601) 484-5876
Get Directions

DR. James Henderson, MD is a plastic and reconstructive surgery surgery in Meridian, MS with 38 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. James Henderson, MD NPI is 1588676597. 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:

1201 22ND AVE STE C
MERIDIAN, MS
ZIP 39301-010
Phone: (601) 484-5876
Fax: (601) 482-8311

The NPI 1588676597 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 8/12/2006 and was last updated on 8/6/2007.

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	207P00000X	Emergency Medicine		15783	MISSISSIPPI	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	15783	MISSISSIPPI	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	G86797	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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