James Roger Henderson, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Practice address

875 Wesley St
Suite 130
Arlington, WA 98223-1613

Phone

(360) 435-6525

Fax

(360) 435-2634

NPI assigned

Jul 3, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396775698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25630 JIM CREEK RD",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236835",
            "telephone_number": "360-435-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST",
            "address_2": "SUITE 130",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231613",
            "telephone_number": "360-435-6525",
            "fax_number": "360-435-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JAMES",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Hawkins
• Colin E Healy, PA-C
• John J Heininger, PTA
• Rosalita Helldorfer
• Laura Helling
• Alisa M. Hendricks, LMP
• Destrey D. Hendricks, LMP
• Anne Herbert, PA-C
• Joanna K Hermanson, LMP
• Geovana Lizeth Hernandez, LMT

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Arlington, WA
• Providers in Arlington, WA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.