Individual provider Active NPI

Edward Money Henderson, DO

  • Pediatrics Physician
  • Midlothian, VA
National Provider Identifier
1821380189
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102203647 Issued in VA
Practice address
13821 Village Mill Dr Ste a
Midlothian, VA 23114-4314
Phone
(804) 794-2821
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102203647 VA Primary

Addresses

Primary practice location

13821 Village Mill Dr Ste a
Midlothian, VA 23114-4314

Mailing address

13821 Village Mill Dr Ste a
Midlothian, VA 23114-4314
Phone (804) 794-2821

Other practice location 1

866 Kygers Hill Rd
Lexington, VA 24450-6913
Phone (540) 463-3211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130711000371 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0547400715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102203647VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric & Adolescent Health Partners, P.C. Pediatrics PastSince Jan 24, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1821380189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13821 VILLAGE MILL DR STE A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144314",
            "telephone_number": "804-794-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 VILLAGE MILL DR STE A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144314",
            "telephone_number": "804-794-2821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "866 Kygers Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "VA",
            "postal_code": "244506913",
            "country_code": "US",
            "telephone_number": "540-463-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "EDWARD",
        "middle_name": "MONEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102203647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.