SCOTT HENDERSON PA-C NPI 1174595383

NPI Information

  • NPI: 1174595383
  • Provider Name: SCOTT HENDERSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 1101 WOOTTON PKWY
    SUITE 100
    ROCKVILLE, MD
    ZIP 20852
  • Phone: (240) 453-6028

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NPI Details

Scott Henderson, PA-C is a medical physician assistant in Rockville, MD. Scott Henderson, PA-C NPI is 1174595383. 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:

1101 WOOTTON PKWY
SUITE 100
ROCKVILLE, MD
ZIP 20852-059
Phone: (240) 453-6028

The enumeration date for this NPI number is 2/2/2006 and was last updated on 1/26/2010.

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
1363AM0700XPhysician AssistantMedical15791CALIFORNIAYes

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: 11/21/2025

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