Active NPI
Edward Money Henderson, DO
- Pediatrics Physician
- Midlothian, VA
National Provider Identifier
1821380189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0102203647
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130711000371 | VA | Order and Referring Only - Pediatric Medicine | 0547400715 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102203647 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric & Adolescent Health Partners, P.C. | Pediatrics | Past | 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.
-
- Pediatrics Physician
- Midlothian, VA
- NPI 1851458178
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.