# DR. SCOTT JAMES HENDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417004300
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 04-32460 | KS | Yes |
| 207L00000X | Anesthesiology Physician | 2007013970 | MO | — |
| 207L00000X | Anesthesiology Physician | 26906 | NE | — |
| 207L00000X | Anesthesiology Physician | MD0000040132 | TN | — |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 04/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200443340A | — | KS |
| 05 | — | 204466601 | — | MO |