Kenneth I Henson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101049560 Issued in VA

Practice address

8650 Sudley Road
# 206
Manassas, VA 20110

Phone

(703) 368-9234

Fax

(703) 368-0505

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bath County Community Hospital

  dba Bath Community Hospital

  • Critical Access Hospital
  • Hot Springs, VA
  • NPI 1417989278
  Medicare reassignment NPD
• Northern Virginia Surgical Specialists LTD

  • Surgery Physician
  • Warrenton, VA
  • NPI 1801953203
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205868338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 SUDLEY ROAD",
            "address_2": "# 206",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-368-9234",
            "fax_number": "703-368-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 SUDLEY ROAD",
            "address_2": "# 206",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-368-9234",
            "fax_number": "703-368-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "KENNETH",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101049560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "210992",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Hembree
• Ashley Henderson
• Camilla C. Hendren, LCSW
• Ethel M Henry, PA
• Madison Katelyn Henry
• Taylor Ann Herbert, AU.D.
• Sara Elise Herbst, APRN
• Vanesa Heredia, LPC
• Aleyda Marina Herlihy, CCC-SLP
• Erika Zullay Hernandez

• Surgery Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.