Mark H Henderson Jr., MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D0040288 Issued in MD

Practice address

23000 Moakley St
Suite 102
Leonardtown, MD 20650-2915

Phone

(301) 475-5555

Fax

(301) 475-8535

NPI assigned

Dec 22, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902883762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23000 MOAKLEY ST",
            "address_2": "SUITE 102",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502915",
            "telephone_number": "301-475-5555",
            "fax_number": "301-475-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23000 MOAKLEY ST",
            "address_2": "SUITE 102",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502915",
            "telephone_number": "301-475-5555",
            "fax_number": "301-475-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MARK",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0040288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Heino Jr., D.O.
• Helixcare Medical Group, LLC (MedStar Physician Partners at St. Mary's)
• Helixcare Medical Group, LLC (MedStar Physician Partners at St. Clement's)
• Jennifer Helms, LCSW-C
• Mehdi Hemmati
• Morgan Victoria Hensley, CRNP
• Linda Carol Hersey, NP
• Miranda Nichole Heydt, LMSW
• Erin L. Hickey, M.D.
• Mindy Allyn Hill, LGPC

• Orthopaedic Surgery Physician in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.