Individual provider Active NPI

Zoe Louise Henderson, PA-C

  • Physician Assistant
  • Bellefontaine, OH
National Provider Identifier
1457025173
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007017RX Issued in OH
Practice address
212 E Columbus Ave Ste 1
Bellefontaine, OH 43311-2033
Phone
(937) 599-4128
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007017RX OH Primary

Addresses

Primary practice location

212 E Columbus Ave Ste 1
Bellefontaine, OH 43311-2033

Mailing address

11671 Township Road 93
Lakeview, OH 43331-9220
Phone (937) 441-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211019001023 OH Practitioner - Physician Assistant 9537557848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health and Wellness Partners of Logan CountyGroup PAC ID 8022247469, 20 clinicians

Practice addresses (Care Compare)

212 E Columbus Ave
Suite 1
Bellefontaine, OH 43311-2033
Phone (937) 599-1411

4879 US RT 68
West Liberty, OH 43357-9525
Phone (937) 599-1411

8200 State Route 366
Suite 1
Russells Point, OH 43348-9670
Phone (937) 633-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.007017RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health & Wellness Partners of Logan County CurrentSince Sep 13, 2021 Accepting new patients
Community Health & Wellness Partners of Logan County CurrentSince Sep 13, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients

Locations

212 E Columbus Ave
Ste 1
Bellefontaine, OH 43311
Phone (937) 599-1511

4560 County Road 26
Ste 2
Bellefontaine, OH 43311

8920 County Road 91
Ste 2
Lewistown, OH 43333

8200 State Route 366
Ste 1
Russells Pt, OH 43348
Phone (937) 633-0071

605 Miami St
Ste 100
Urbana, OH 43078

7208 US Highway 68 N
Ste 2
West Liberty, OH 43357

Interoperability endpoints

  • Direct secure messaging: zoe.henderson@chwplc.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1457025173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11671 TOWNSHIP ROAD 93",
            "city": "LAKEVIEW",
            "state": "OH",
            "postal_code": "433319220",
            "telephone_number": "937-441-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E COLUMBUS AVE STE 1",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112033",
            "telephone_number": "937-599-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ZOE",
        "middle_name": "LOUISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007017RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.