John P Henderson II, MD
Individual provider Active NPI Family Medicine Physician · Belington, WV
NPI 1619905940 · NPPES record last updated Oct 22, 2015
Key facts
- NPI
- 1619905940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 17533 (WV)
- Practice address
- 70 N Sturmer St
Belington, WV 26250-7403 - Phone
- (304) 823-2800
- Fax
- (304) 823-2703
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Belington Community Medical Services Association
Practice addresses (Care Compare)
70 N Sturmer St
Belington, WV 26250-7403
Phone (304) 823-2800
Hospital & facility affiliations
- Hospice of Barbour County
- Vandalia Health Broaddus Hospital
- Davis Medical Center
- United Hospital Center, Inc
- St Joseph'S Hospital of Buckhannon, Inc
- West Virginia University Hospitals, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospice of Barbour County |
Hospice | W-2 Managing Employee | Oct 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070104000087 | WV | Practitioner - Family Practice | 2567462112 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belington Community Medical Services Association Inc | Family Medicine | Current | Accepting new patients |
| Belington Community Medical Services Association | Family Medicine | Current |
Accepting new patients |
| Belington Community Medical Services Association | Current |
Accepting new patients | |
| Belington Community Medical Services Association | Current |
Accepting new patients | |
| Belington SNF Operations LLC | Past | Accepting new patients | |
| Tygart Valley Orthopedics and Sports Medicine, Inc. | Past |
Accepting new patients |
Locations
70 N Sturmer St
Belington, WV 26250
Phone (304) 823-2800
99 Horseshoe Dr
Philippi, WV 26416
Phone (304) 457-4000
116 McClellan Rd
Philippi, WV 26416
Phone (304) 457-2800
Interoperability endpoints
- https://api.platform.athenahealth.com/1404/brand/1/csg/1/fhir/r4
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71927
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17533 | WV | Yes |
Addresses
Primary practice location
70 N Sturmer St
Belington, WV 26250-7403
Mailing address
70 N Sturmer St
Belington, WV 26250-7403
Phone (304) 823-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1802983000 | Medicaid | WV | |
| 2028131 | Other | WV | MEDICARE-TPAN |
Other providers in Belington, WV
- Tammy Jean Hedrick
- Jennifer Helmick
- Brandon Helper
- Rocquel Hendershot
- Jan Henderson
- Jamie Henretty
- Rainie Henry
- Amanda L Herrod
- Carroll Herron
- Elizabeth Hershey
All providers in Belington, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.