Amy Hallal Henderson, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01052944A Issued in IN

Practice address

2 Silvercrest Dr
Suite 100
New Albany, IN 47150-7800

Phone

(812) 948-1641

Fax

(812) 941-0438

NPI assigned

Jul 28, 2005

Last updated

Jun 14, 2016By the provider in NPPES

Sex

Female

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 8

Medicare fee-for-service enrollment

Enrolled in IN, KY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Baptist Health Medical Group Inc

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1508269200

  IN

  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY

  Medicare reassignment NPD
• Amy Hallal Henderson MD LLC

  • General Practice Physician
  • New Albany, IN
  • NPI 1528459278
  NPD (past) Authorized official
• FMMG LLC

  • Family Medicine Physician
  • New Albany, IN
  • NPI 1184912370
  NPD (past)
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1588614994
  NPD (past)
• Community Medical Associates, Inc.

  dba Norton Community Medical Associates

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409
  NPD (past)
• Community Medical Associates, Inc.

  • Neurological Surgery Physician
  • Louisville, KY
  • NPI 1922288760
  NPD (past)
• Norton Enterprises, Inc.

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1104863562
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1437159886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SILVERCREST DR",
            "address_2": "SUITE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471507800",
            "telephone_number": "812-948-1641",
            "fax_number": "812-941-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SILVERCREST DR",
            "address_2": "SUITE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471507800",
            "telephone_number": "812-948-1641",
            "fax_number": "812-941-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "AMY",
        "middle_name": "HALLAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01052944A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000235706",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200403200",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1727118",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200403200B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR - NICC",
            "identifier": "P00362329",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR - NICC",
            "identifier": "P00305291",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHIO - NICC",
            "identifier": "045019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NICC",
            "identifier": "000000381971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Heinz, PHARMD
• Ryan William Heinz, DMD
• Aaron Stanton Hellems, LCSW
• Hellenic Senior Living of New Albany, LLC (Hellenic Senior Living of New Albany)
• Harleigh Helton
• Ashley Henderson, CRNA
• Hendricks County Hospital (Green Valley Care Center)
• Hohete Yohannes Hendrix, DMD;MSD
• Stacy Ann Henley, LCSW
• Kara Leigh Hensley, RN

• General Practice Physician in New Albany, IN
• Providers in New Albany, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.