MR. RODNEY MCKINLEY HENDERSON


Address: 1945 Scottsville Rd B-2 Pmb 137, Bowling Green, KY 42104-3376
Phone: 2707820434

MR. RODNEY MCKINLEY HENDERSON (NPI# 1518994094) 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) 1518994094
Entity Type Individual
Full Name MR. RODNEY MCKINLEY HENDERSON
Credential RODNEY HENDERSON
Practice Address 1945 Scottsville Rd B-2 Pmb 137
Bowling Green
KY 42104-3376
Mailing Address 1945 Scottsville Rd
Bowling Green
KY 42104-3376
Practice Telephone 2707820434
Practice Fax Number 2707820564
Mailing Telephone 2707820434
Mailing Fax Number 2707820564
Enumeration Date 2006-06-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
SA020 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM 000000212658 01
KY HUMANA 58221859-B 01

Other Providers RODNEY HENDERSON

NPI Name Taxonomy Address Enumeration
1225035488 Rodney D Henderson Orthopaedic Surgery 2851 S Avenue B, Ste 2403, Yuma, AZ 85364-7759 2005-07-02

Office Location

Street Address 1945 SCOTTSVILLE RD B-2 PMB 137
City BOWLING GREEN
State KY
Zip Code 42104-3376

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043822042 Ashley Marie Sterchi Speech-Language Pathologist The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 2020-08-20
1093339111 Rachel Marie Held Specialist/Technologist 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 2020-06-04
1043846769 C D S 10 Pharmacy LLC Pharmacy 1308 Ashley Circle, Bowling Green, KY 42104 2020-03-13
1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1487122099 Candice Spencer Specialist/Technologist, Other 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 2018-11-13
1053819904 Cumberland Foot and Ankle Centers Orthopaedic Surgery 1850 Westen Street, Bowling Green, KY 42104 2018-01-25
1841731494 Olivia Catherine Sanders Speech-Language Pathologist 954 Aristides Dr, Bowling Green, KY 42104 2017-03-15
1376901488 Trung Trinh Pharmacist 1530 Campbell Lane, Bowling Green, KY 42104 2016-02-03
1225409121 Adam Wesley Baird Optometrist 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 2015-10-18
1851797898 Michelle Leigh King Speech-Language Pathologist 829 Mandarin Ave., Bowling Green, KY 42104 2014-11-18
Find all providers in zip 42104

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629275011 Beverly A. Hatcher Physician Assistant 1725 Ashley Cir Ste 211, Bowling Green, KY 42104-5820 2007-06-28
1043345358 Professional Surgical Assistants, Inc. Physician Assistant 1945 Scottsville Rd Ste B2 Pmb 397, Bowling Green, KY 42104-5836 2007-02-23
1689710980 Aimee Lynne Jaquez Physician Assistant 208 Chippewa Dr, Apt 106, Bowling Green, KY 42103-1378 2007-01-30
1952337560 Roy Nando Tyler Physician Assistant 1945 Scottsville Rd, B2 Pmb 137, Bowling Green, KY 42104-3376 2006-06-24
1487984340 Ken Arthur Physician Assistant 250 Park St, Bowling Green, KY 42101-1760 2009-12-28
1245568195 Brandy L Pile Physician Assistant 250 Park St, Bowling Green, KY 42101-1760 2009-12-03
1780867473 Jeramy C. Willis Physician Assistant 1945 Scottsville Rd, B2 Pmb 397, Bowling Green, KY 42104-3376 2007-12-17
1225228059 Commonwealth Surgical Services, LLC Physician Assistant 1725 Ashley Cir Ste 211, Bowling Green, KY 42104-5820 2007-07-27
1295886281 Karen Michelle Mcguire Physician Assistant 250 Park St, Bowling Green, KY 42101-1760 2007-01-16
1386795425 Mary Linda Caputo Physician Assistant 1945 Scottsville Rd, B2 Pmb 137, Bowling Green, KY 42104-3376 2007-01-16
Find all providers in BOWLING GREEN

Competitor

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City BOWLING GREEN
Zip Code 42104

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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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