Ralph C Henson, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

C00432 Issued in AR

Practice address

17 Rosaires Way
Little Rock, AR 72223-9103

Phone

(501) 766-7762

Fax

(501) 868-4470

NPI assigned

Oct 6, 2005

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Little Rock Outpatient Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1548256365
  NPD (past)
• Little Rock Outpatient Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1861488587
  NPD (past)
• St. Vincent Infirmary Medical Center

  • Certified Registered Nurse Anesthetist
  • Sherwood, AR
  • NPI 1316991847

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1669460424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16474",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722316474",
            "telephone_number": "501-771-4370",
            "fax_number": "501-327-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ROSAIRES WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239103",
            "telephone_number": "501-766-7762",
            "fax_number": "501-868-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "RALPH",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "C00432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59611",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana L Henson, PHARMD
• Emily K Henson, M.S., CCC-SLP
• Helen Henson
• Jeffrey Curran Henson, M.S.
• Lauren Henson, APRN
• Ravyn Henson
• Caitlin Henthorne, QBHP
• Lindsey Herberger
• Akil R Herbert Sr.
• Ralph Wayne Herbert Jr., M.D.

• Anesthesiology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Anesthesiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.