Active NPI
Curtis W Henderson, D.O.
- Emergency Medicine Physician
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3385
- Practice address
- 14502 W Meeker Blvd
Sun City West, AZ 85375-5282 - Phone
- (623) 214-4000
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3385 | AZ | |
| Emergency Medicine Physician | 207P00000X | 3385 | AZ | Primary |
Addresses
Primary practice location
14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Mailing address
2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone (510) 350-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 450437 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Southwest, PC | Emergency Medicine | Current | Accepting new patients |
| Quantum Healthcare Medical Associates of Arizona, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Past | Accepting new patients |
| Team Physicians of Arizona PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Past | Accepting new patients |
Locations
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
2000 70th Ave
Greeley, CO 80634
Phone (970) 352-7366
2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071
615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
-
- Emergency Medicine Physician
- Loveland, CO
- NPI 1396496469
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1821391269
AZ
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
- Emergency Medicine Physician
- Greeley, CO
- NPI 1366835415
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1710915764
-
- Emergency Medicine Physician
- Greeley, CO
- NPI 1306421201
-
- Emergency Medicine Physician
- Sterling, CO
- NPI 1558946467
-
- Emergency Medicine Physician
- Fort Collins, CO
- NPI 1588249494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1114977154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "SUITE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600",
"fax_number": "510-879-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 W MEEKER BLVD",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755282",
"telephone_number": "623-214-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "CURTIS",
"middle_name": "W",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3385",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "3385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "450437",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.