Murrell E Henderson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34002456 Issued in OH

Practice address

10016 Mottown Rd
Deerfield, OH 44411-9752

Phone

(330) 285-4439

Fax

(330) 297-8463

NPI assigned

May 2, 2006

Last updated

Mar 24, 2015By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Robinson Health System Inc

  dba University Hospitals Portage Medical Center Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Ravenna, OH
  • NPI 1922597533
  NPD
• Robinson Health System, Inc.

  dba Robinson Memorial Hospital

  • Cardiovascular Disease Physician
  • Ravenna, OH
  • NPI 1083045504
  NPD
• Robinson Health System, Inc.

  dba University Hospitals Portage Medical Center

  • General Practice Physician
  • Ravenna, OH
  • NPI 1386075141
  NPD

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1487612180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 MOTTOWN RD",
            "city": "DEERFIELD",
            "state": "OH",
            "postal_code": "444119752",
            "telephone_number": "330-285-4439",
            "fax_number": "330-297-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10016 MOTTOWN RD",
            "city": "DEERFIELD",
            "state": "OH",
            "postal_code": "444119752",
            "telephone_number": "330-285-4439",
            "fax_number": "330-297-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MURRELL",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34002456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308170",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Brown
• Kara Lynn Buell
• Deerfield Township Trustees
• Shirley Dishong
• Danille L Fox
• Cassandra Marie Jenkins
• Karen Frances Karrick
• Ryanna Michelle Leasure
• Brandy D Sutcliffe
• Isaac William Timms

• Family Medicine Physician in Deerfield, OH
• Providers in Deerfield, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.