Active NPI
Winnie W. Henderson, M.D., PH.D.
- Surgery Physician
- Springfield, OR
National Provider Identifier
1235347428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD150994
- Practice address
- 3783 International CT Ste 200
Springfield, OR 97477-1025 - Phone
- (541) 735-3778
- Fax
- (541) 735-3772
- NPI assigned
- May 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD150994 | OR | Primary |
Addresses
Primary practice location
3783 International CT Ste 200
Springfield, OR 97477-1025
Mailing address
3783 International CT Ste 200
Springfield, OR 97477-1025
Phone (541) 735-3778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500621661 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Oregon Health Sciences University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3355 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 683-5001
520 Country Club Pkwy
Eugene, OR 97401-6043
Phone (541) 683-5001
Hospital & facility affiliations
- Sacred Heart Medical Center - Riverbend
- Peace Harbor Medical Center
- Samaritan Albany General Hospital
- Bay Area Hospital
- Good Samaritan Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 70 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 32 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology Associates of Oregon P C | Current | Accepting new patients | |
| Oncology Associates of Oregon P C | Current | Accepting new patients |
Locations
520 Country Club Pkwy
Eugene, OR 97401
Phone (541) 681-4948
3355 Riverbend Dr
Ste 300
Springfield, OR 97477
Phone (541) 222-8333
3355 Riverbend Dr
Ste 110
Springfield, OR 97477
Phone (541) 687-1336
3783 International Ct
Ste 200
Springfield, OR 97477
Phone (541) 302-6469
Interoperability endpoints
- winnie.henderson@wvci.ikm.direct-ci.com
- whende01@yourcarecommunity.org
- whenderson12753@direct.peacehealth.org
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Eugene, OR
- NPI 1013989854
-
- Community/Retail Pharmacy
- Eugene, OR
- NPI 1245327121
Hospital & facility affiliations 42
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1235347428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3783 INTERNATIONAL CT STE 200",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771025",
"telephone_number": "541-735-3778",
"fax_number": "541-735-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3783 INTERNATIONAL CT STE 200",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771025",
"telephone_number": "541-735-3778",
"fax_number": "541-735-3772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "WINNIE",
"middle_name": "W.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD150994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500621661",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.