Active NPI
James M Henderson, M.D.
- Family Medicine Physician
- Childress, TX
National Provider Identifier
1376644286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E4398
- Practice address
- 1001 Hwy 83 N
Childress, TX 79201 - Phone
- (940) 937-3636
- Fax
- (940) 937-9644
- NPI assigned
- Sep 25, 2006
- Last updated
- Dec 23, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E4398 | TX | Primary |
Addresses
Primary practice location
1001 Hwy 83 N
Childress, TX 79201
Mailing address
1001 US Highway 83 N
Childress, TX 79201-2322
Phone (940) 937-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Family Practice
- Education
- University of Texas Medical School at Houston, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 US Hwy 83 N
Childress, TX 79201-2322
Phone (940) 937-3636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4398 | TX | MD | Family Medicine Physician |
Organizations & group practices 1
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.
-
dba Fox Rural Health Clinic
- Rural Health Clinic/Center
- Childress, TX
- NPI 1902995525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1376644286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 US HIGHWAY 83 N",
"city": "CHILDRESS",
"state": "TX",
"postal_code": "792012322",
"telephone_number": "940-937-3636",
"fax_number": "940-937-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HWY 83 N",
"city": "CHILDRESS",
"state": "TX",
"postal_code": "79201",
"telephone_number": "940-937-3636",
"fax_number": "940-937-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E4398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Childress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.