Donnie Henderson, CST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

150240 Issued in WI

Practice address

733 Copernicus Way
Madison, WI 53718-3098

Phone

(414) 614-8391

NPI assigned

May 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1679950315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 COPERNICUS WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183098",
            "telephone_number": "414-614-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 COPERNICUS WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183098",
            "telephone_number": "414-614-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DONNIE",
        "credential": "CST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "WI",
            "license": "150240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip J Hemmerling, AA-C
• Michelle M Hemp, RN
• Susan Lynn Hence
• Cassie Henderson
• Christina Louise Henderson, DO STUDENT
• Nancy K Henderson, LCSW
• Paul Lars Henderson, PA-C
• Sheryl L Henderson, MD
• Andrew Hendrick
• Sandra Hendricks, MSSW

• Surgical Technologist in Madison, WI
• Providers in Madison, WI by specialty
• Surgical Technologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.