Individual
ANDREW H. HENDERSON III
Active
Individual
ANDREW H. HENDERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19017
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110055349
RR MEDICARE PIN
GA
01
—
37903705
MEDICAID LAB GRP
KY
01
—
4000501
MEDICARE LAB GRP
KY
05
—
64190176
—
KY
01
—
CB5773
RR MEDICARE GRP
GA
Enumeration date
07/12/2006
Last updated
03/01/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up