| Nathan Ray Henderson, MD | |
|
8970 Market St, Dover, AR 72837-9110 | |
| (479) 331-3880 | |
| (479) 331-3788 |
| Full Name | Nathan Ray Henderson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8970 Market St, Dover, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013250182 | NPI | - | NPPES |
| 210379001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E8951 (Arkansas) | Primary |
| Entity Name | Mercy Hospital Paris |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912955709 PECOS PAC ID: 0244135705 Enrollment ID: O20031206000120 |
| Entity Name | Mercy Hospital Ozark |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881642767 PECOS PAC ID: 3678467412 Enrollment ID: O20040211001144 |
| Entity Name | St Marys Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
| Entity Name | Mercy Hospital Paris |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518915321 PECOS PAC ID: 0244135705 Enrollment ID: O20090402000673 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120308000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Ray Henderson, MD 8970 Market St, Dover, AR 72837-9110 Ph: (479) 331-3880 | Nathan Ray Henderson, MD 8970 Market St, Dover, AR 72837-9110 Ph: (479) 331-3880 |
Blake L Dixon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8970 Market St, Dover, AR 72837 Phone: 479-331-3880 Fax: 479-331-3788 | |
Arlis Dale Barton, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8970 Market St, Dover, AR 72837 Phone: 479-331-3880 Fax: 479-331-3788 |