NPIMap

Individual provider Active NPI

Christopher Patrick Henderson, MD

  • Orthopaedic Surgery of the Spine Physician
  • Dickson City, PA
National Provider Identifier
1528249489
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
MD439809 Issued in PA
Practice address
334 Main St
Suite 1
Dickson City, PA 18519-1668
Phone
(570) 307-1767
Fax
(570) 307-1770
NPI assigned
Nov 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD439809 PA
Orthopaedic Surgery of the Spine Physician 207XS0117X 42566 KY
Orthopaedic Surgery of the Spine Physician 207XS0117X MD439809 PA Primary

Addresses

Primary practice location

334 Main St
Suite 1
Dickson City, PA 18519-1668

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

1250 S Cedar Crest Blvd Ste 110
Allentown, PA 18103-6224
Phone (610) 402-8900

Other identifiers 8

IdentifierTypeStateIssuer
3740628000OtherKYPASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
000000628566OtherKYANTHEM- NORTON LEATHERMAN SPINE CENTER
107094OtherKYSIHO- NORTON LEATHERMAN SPINE CENTER
200951040MedicaidIN
8850976OtherKYCIGNA- NORTON LEATHERMAN SPINE CENTER
7100084080MedicaidKY
000051983QOtherKYHUMANA- NORTON LEATHERMAN SPINE CENTER
50025971OtherKYPASSPORT- NORTON LEATHERMAN SPINE CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000898 PA Practitioner - Orthopedic Surgery 3779639018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1250 S Cedar Crest Blvd
110 LVPG Orthopedics and Sports Medicine
Allentown, PA 18103-6224
Phone (610) 402-8900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion139
Laminectomy or laminotomy (partial removal of spine bones)97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 17, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 11, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 17, 2022 Accepting new patients
Hazleton Professional Services CurrentSince Nov 11, 2022 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Valley Hospital- Pocono Past Accepting new patients

Locations

1250 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 435-1003

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

267 Brooklyn St
Carbondale, PA 18407
Phone (570) 281-6670

26 Station Cir
Hazleton, PA 18202
Phone (570) 861-8710

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

100 Hospital Dr
Montrose, PA 18801
Phone (570) 278-3801

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

334 Main St
Ste 1
Scranton, PA 18519
Phone (570) 307-1767

5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864

300 Lackawanna Ave
#200
Scranton, PA 18503

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

1141 Clay Ave
Scranton, PA 18510
Phone (570) 340-2147

Interoperability endpoints

  • Direct secure messaging: chenderson117669@direct2.lvhn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1528249489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "address_2": "SUITE 1",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191668",
            "telephone_number": "570-307-1767",
            "fax_number": "570-307-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Cedar Crest Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8900",
            "fax_number": "610-402-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD439809",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "42566",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "MD439809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "3740628000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "000000628566",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "107094",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200951040",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "8850976",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100084080",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "000051983Q",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "50025971",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.