Individual
DR. THOMAS JAMES HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
913 N DIXIE AVE, DEPARTMENT OF EMERGENCY MEDICINE, ELIZABETHTOWN, KY 42701-2503
(877) 783-6257
Mailing address
913 N DIXIE AVE, DEPARTMENT OF EMERGENCY MEDICINE, ELIZABETHTOWN, KY 42701-2503
(877) 783-6257
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01068464A
IN
207P00000X
Emergency Medicine Physician
Primary
45465
KY
207P00000X
Emergency Medicine Physician
MT188168
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000766878
BCBS
KY
05
—
200987820
—
IN
01
—
50037788
PASSPORT
KY
05
—
7100174620
—
KY
Enumeration date
05/23/2008
Last updated
05/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us