Active NPI
Pamela S Henderson, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Scottsdale, AZ
National Provider Identifier
1982673208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 22689
- Practice address
- 7425 E Shea Blvd
Suite 105
Scottsdale, AZ 85260-6411 - Phone
- (480) 596-6886
- Fax
- (480) 596-8989
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 22689 | AZ | Primary |
Addresses
Primary practice location
7425 E Shea Blvd
Suite 105
Scottsdale, AZ 85260-6411
Mailing address
7425 E Shea Blvd
Suite 105
Scottsdale, AZ 85260-6411
Phone (480) 596-6886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1982673208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7425 E SHEA BLVD",
"address_2": "SUITE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606411",
"telephone_number": "480-596-6886",
"fax_number": "480-596-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 E SHEA BLVD",
"address_2": "SUITE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606411",
"telephone_number": "480-596-6886",
"fax_number": "480-596-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "PAMELA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "AZ",
"license": "22689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.