Active NPI
Rodney D. Henderson, M.D.
- Orthopaedic Surgery Physician
- Yuma, AZ
National Provider Identifier
1013205863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 44983
- Legal business name
- RODNEY D. HENDERSON, M.D.
- Practice address
- 2851 S Avenue B
Suite 2403
Yuma, AZ 85364-7726 - Phone
- (928) 726-2990
- Fax
- (928) 726-0786
- NPI assigned
- Jul 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodney D. Henderson, M.D.
- Title
- Director
- Phone
- (928) 726-2990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 44983 | AZ | Primary |
Addresses
Primary practice location
2851 S Avenue B
Suite 2403
Yuma, AZ 85364-7726
Mailing address
9187 Clairemont Mesa Blvd
#6733
San Diego, CA 92123-1257
Phone (928) 726-2990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2851 S Avenue B
Ste 2403
Yuma, AZ 85364
Phone (928) 726-2990
2281 W 24th St
Ste 1
Yuma, AZ 85364
Phone (928) 276-4293
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Yuma, AZ
- NPI 1225035488
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- La Jolla, CA
- NPI 1154433704
AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431993600000",
"number": "1013205863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9187 CLAIREMONT MESA BLVD",
"address_2": "#6733",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231257",
"telephone_number": "928-726-2990",
"fax_number": "928-726-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 S AVENUE B",
"address_2": "SUITE 2403",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647726",
"telephone_number": "928-726-2990",
"fax_number": "928-726-0786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODNEY D. HENDERSON, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-14",
"last_updated": "2015-05-19",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "928-726-2990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "44983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.