MARRESSA RUTH HENDERSON PA-C NPI 1609487065

NPI Information

NPI: 1609487065
Provider Name: MARRESSA RUTH HENDERSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: PAIN MANAGEMENT CENTERS OF AMERICA PSC

PECOS Registration: Yes

Address:
1101 PROFESSIONAL BLVD
EVANSVILLE, IN
ZIP 47714
Phone: (812) 477-7246
Get Directions

Marressa Ruth Henderson, PA-C is a medical physician assistant in Evansville, IN with 4 years of experience. Marressa Ruth Henderson, PA-C NPI is 1609487065. 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:

1101 PROFESSIONAL BLVD
EVANSVILLE, IN
ZIP 47714-016
Phone: (812) 477-7246

The NPI 1609487065 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 8/10/2020 and was last updated on 2/23/2021.

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	208VP0014X	Pain Medicine	Interventional Pain Medicine	10003026A	INDIANA	No
2	363A00000X	Physician Assistant				No
3	363AM0700X	Physician Assistant	Medical	10003026A	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	300043223	MEDICAID	INDIANA
2	7100697400	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »