STEVEN ROYCE HENDERSON


Address: 100 N Green Valley Pkwy Ste 240, Henderson, NV 89074-7704
Phone: 7029380088

STEVEN ROYCE HENDERSON (NPI# 1104036144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104036144
Entity Type Individual
Full Name STEVEN ROYCE HENDERSON
Credential P.A.C.
Practice Address 100 N Green Valley Pkwy Ste 240
Henderson
NV 89074-7704
Mailing Address Po Box 98978
Las Vegas
NV 89193-8978
Practice Telephone 7029380088
Practice Fax Number 7022604689
Mailing Telephone 7022163346
Mailing Fax Number 7026716883
Enumeration Date 2007-05-22
Last Update Date 2019-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 512 NV Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
512 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1104036144 05
NV STATE LICENSE 512 01
NV DEA MH0241125 01

Other Providers STEVEN HENDERSON

NPI Name Taxonomy Address Enumeration
1528475399 Steven Henderson Nurse's Aide 19509 Westbrook St, Detroit, MI 48219-1921 2014-07-14
1811049398 Steven Mark Henderson Chiropractor 213 E Fireweed Ln, Anchorage, AK 99503-2025 2007-01-17
1215004734 Steven Edward Henderson Chiropractor 43 Northwood Dr, Delaware, OH 43015-1501 2006-11-29
1073926440 Steven Burnell Henderson Counselor 1640 Alta Dr, Suite 4, Las Vegas, NV 89106-4163 2014-06-03
1851738124 Steven R Henderson Counselor 415 Us Highway 95a S, Suite E-501, Fernley, NV 89408-9261 2013-05-28
1437421625 Steven Shawn Henderson Rehabilitation Counselor 1481 W Warm Springs Rd Ste 129, Henderson, NV 89014-7636 2012-02-02
1649562927 Steven Allan Henderson Chiropractor 103 Dover St., Pineville, NC 28134 2011-05-05
1255353835 Steven E Henderson Emergency Medicine 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 2006-07-24
1023033271 Steven Henderson Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2006-07-12

Office Location

Street Address 100 N GREEN VALLEY PKWY STE 240
City HENDERSON
State NV
Zip Code 89074-7704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528280666 Caprice Marie Hutchison Nurse Practitioner 100 N Green Valley Pkwy Ste 240, Henderson, NV 89074-7704 2007-05-02
1962982728 Dina Alzadon Nurse Practitioner 100 N Green Valley Pkwy Ste 240, Henderson, NV 89074-7704 2018-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194349381 Samuel Taylor Mulford Physical Therapist 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 2020-06-03
1407369127 Brenda Thomas Dental Hygienist 234 Polar Morning Place, Henderson, NV 89074 2017-11-16
1174036479 Gail E Evans Wade Behavioral Analyst 1445 Stone Lake Cove, Henderson, NV 89074 2017-11-08
1710400957 Kimberley Houk Behavioral Analyst 20 Avenida Picasso, Henderson, NV 89074 2017-07-19
1760911846 Colin Ono-moore Physical Therapist 3 Rising Sun Ct, Henderson, NV 89074 2017-06-12
1851825764 Ralph Wieder Dietitian, Registered 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 2017-04-18
1811421712 Henderson Long Term Care LLC Skilled Nursing Facility 2965 Wigwam Parkway, Henderson, NV 89074 2017-04-18
1275994642 Malyna Lavarias Behavioral Analyst 74 N Pecos Rd., Suite C, Henderson, NV 89074 2016-03-14
1144608290 Matthew Roderick Acupuncturist 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 2015-05-08
1922494764 Jennifer Romo Santistevan Pediatrics 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 2015-04-08
Find all providers in zip 89074

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013537794 Julia Alexa Ondarza Physician Assistant 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 2020-04-22
1164060216 Hugh Andrew David Cooper Rosett Physician Assistant 2114 Rhonda Ter, Henderson, NV 89074-0653 2019-12-18
1982241261 Anna Liang Physician Assistant 2839 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4849 2019-12-05
1194369710 Brooke Lauren Cossaboom Physician Assistant 2185 Rio Rancho Pointe Pl, Henderson, NV 89002-8606 2019-11-06
1316407810 Joseph William Rozmus IIi Physician Assistant 451 Ruin Creek Rd Ste 103, Henderson, NC 27536-5920 2019-03-21
1164996419 Emily Taylor Relles Physician Assistant 71 Falcon Feather Way, Henderson, NV 89012-5835 2019-01-18
1528511516 Clinton Matthew Emmons Physician Assistant 1095 Sheer Paradise Ln Unit 3, Henderson, NV 89002-1058 2016-07-26
1447616404 Marcos Gomez Physician Assistant 121 Pettswood Dr, Henderson, NV 89002-3390 2016-01-06
1407244593 Laura Schmitt Physician Assistant 2380 West Horizon Ridge Parkway, Suite 110, Henderson, NV 89052 2014-12-26
1740602275 Tanner J Smith Physician Assistant 830 Carnegie St Apt 623, Henderson, NV 89052-5734 2014-01-17
Find all providers in HENDERSON

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City HENDERSON
Zip Code 89074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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