Michael David Henderson, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

4301029337 Issued in MI

Practice address

2360 1St St
Napa, CA 94559-2239

Phone

(707) 377-1007

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Michigan Oncology Hematology PLLC

  • Specialist
  • Mount Clemens, MI
  • NPI 1962550053
  NPD (past) Authorized official
• Urgent Care Plus Telehealth Inc

  • Urgent Care Clinic/Center
  • Sonoma, CA
  • NPI 1326759739
  NPD (past)
• Community Cancer Care Specialists

  • Hematology & Oncology Physician
  • Mount Clemens, MI
  • NPI 1760411680
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1144219585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MILLIKEN CREEK DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945581241",
            "telephone_number": "313-930-0909",
            "fax_number": "248-203-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 1ST ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945592239",
            "telephone_number": "707-377-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "4301029337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4705694-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staci Lynn Hemmerlin, CPNP
• Beverly Nelson Hemphill, MS, OTR/L, SWC, HTC
• Matthew Scott Hemsley, DC
• Veronica L. Henderson-Borges, COUNSELOR
• Christopher Henderson, N.D., L.AC.
• Edward Scott Hendricks, OD - OPTOMETRIST
• Tiffany Henkle
• Paula Hennige
• Brian Henricksen, PARAMEDIC
• Taina Henriquez

• Medical Oncology Physician in Napa, CA
• Providers in Napa, CA by specialty
• Medical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.