Organization Active NPI

Pamela S. Henderson, M.D., P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1558618645
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
22689 Issued in AZ
Legal business name
PAMELA S. HENDERSON, M.D., P.C.
Practice address
7425 E Shea Blvd Ste 105
Scottsdale, AZ 85260-6411
Phone
(480) 596-6886
Fax
(480) 596-8989
NPI assigned
Aug 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Dr. Pamela S Henderson, M.D.
Title
Owner/President
Phone
(480) 596-6886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X 22689 AZ Primary

Addresses

Primary practice location

7425 E Shea Blvd Ste 105
Scottsdale, AZ 85260-6411

Mailing address

7425 E Shea Blvd Ste 105
Scottsdale, AZ 85260-6411
Phone (480) 596-6886

National Provider Directory

National Provider Directory

Locations

7425 E Shea Blvd
Ste 105
Scottsdale, AZ 85260
Phone (480) 596-6886

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1558618645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 E SHEA BLVD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606411",
            "telephone_number": "480-596-6886",
            "fax_number": "480-596-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 E SHEA BLVD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606411",
            "telephone_number": "480-596-6886",
            "fax_number": "480-596-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA S. HENDERSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-596-6886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AZ",
            "license": "22689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.