DR. AMY HALLAL HENDERSON M.D. NPI 1437159886

NPI Information

NPI: 1437159886
Provider Name: DR. AMY HALLAL HENDERSON, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2 SILVERCREST DR
SUITE 100
NEW ALBANY, IN
ZIP 47150
Phone: (812) 948-1641
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DR. Amy Hallal Henderson, M.D. is a general practice in New Albany, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Amy Hallal Henderson, M.D. NPI is 1437159886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 SILVERCREST DR
SUITE 100
NEW ALBANY, IN
ZIP 47150-800
Phone: (812) 948-1641
Fax: (812) 941-0438

The NPI 1437159886 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 7/28/2005 and was last updated on 6/14/2016.

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	208D00000X	General Practice		01052944A	INDIANA	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	H30372	MEDICARE UPIN	INDIANA
2	196290FF	MEDICARE PIN	INDIANA
3	P00362329	OTHER	KENTUCKY	RRMCR - NICC
4	200403200	MEDICAID	INDIANA
5	200403200B	MEDICAID	INDIANA
6	1727118	OTHER	INDIANA	CIGNA
7	000000235706	OTHER	INDIANA	ANTHEM
8	P00305291	OTHER	INDIANA	RRMCR - NICC
9	000000381971	OTHER		ANTHEM - NICC
10	045019	OTHER		SHIO - NICC
11	1361997	MEDICARE PIN	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

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