Robert L Henderson, M.D., F.A.C.S.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

D0021351 Issued in MD

Practice address

10480 Little Patuxent Pkwy
Suite 220
Columbia, MD 21044-3568

Phone

(443) 535-9451

Fax

(443) 535-9455

NPI assigned

Mar 2, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Hearing Center of Chestertown, LLC

  • Audiologist
  • Chestertown, MD
  • NPI 1710519541
  NPD (past)
• Hearing Center of Chestertown, LLC

  • Audiologist-Hearing Aid Fitter
  • Chestertown, MD
  • NPI 1891926994
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942277439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 HIPSLEY MILL RD",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217977612",
            "telephone_number": "301-854-6255",
            "fax_number": "410-489-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10480 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 220",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443568",
            "telephone_number": "443-535-9451",
            "fax_number": "443-535-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0021351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE NUMBER",
            "identifier": "D0021351",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137031600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137031602",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaydyn Maleah Henderson
• Latarsha Henderson, RN
• Mindi M Henderson, R.R.T
• Myles I Henderson
• Olivia Ann Henderson
• Ronald Henderson
• Sharnise Nicole Hendrick, LCPC
• Alisa Nicole Hendrix
• Millicent Hendrix
• Kelly Christina Hendry

• Otolaryngology Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Otolaryngology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.