Active NPI
Henderson Podiatry, LLC
- Podiatrist
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002642L
- Legal business name
- HENDERSON PODIATRY, LLC
- Practice address
- 882 Millersville Rd
Lancaster, PA 17603 - Phone
- (717) 291-0391
- Fax
- (717) 291-0832
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn C Henderson, DPM
- Title
- Owner
- Phone
- (717) 291-0391
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002642L | PA | Primary |
Addresses
Primary practice location
882 Millersville Rd
Lancaster, PA 17603
Mailing address
882 Millersville Rd
Lancaster, PA 17603-6154
Phone (717) 291-0391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480033950 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
882 Millersville Rd
Lancaster, PA 17603
Phone (717) 291-0391
324 Beaver Valley Pike
Willow Street, PA 17584
Phone (717) 291-0391
324 Beaver Valley Pike
Ste 1
Willow Street, PA 17584
Phone (717) 464-5603
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Lancaster, PA
- NPI 1245201789
-
- Foot Surgery Podiatrist
- Lancaster, PA
- NPI 1467015016
-
- Foot & Ankle Surgery Podiatrist
- Drexel Hill, PA
- NPI 1063513588
-
- Foot & Ankle Surgery Podiatrist
- Lancaster, PA
- NPI 1770578387
-
- Foot & Ankle Surgery Podiatrist
- Asheboro, NC
- NPI 1902865942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527811200000",
"number": "1437347150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "882 MILLERSVILLE RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176036154",
"telephone_number": "717-291-0391",
"fax_number": "717-291-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "882 MILLERSVILLE RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "17603",
"telephone_number": "717-291-0391",
"fax_number": "717-291-0832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDERSON PODIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2018-06-01",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-291-0391",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002642L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480033950",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.