ETHAN HENDERSON MD – NPI #1144754615
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

ETHAN HENDERSON is a physician located in WHITE RIVER JUNCTION, VT. NPPES has assigned the NPI number 1144754615 to ETHAN HENDERSON on April 11, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Apr 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETHAN HENDERSON below.

NPI Profile for
ETHAN HENDERSON

NPI Number
1144754615
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ETHAN HENDERSON
Credentials
MD
Primary location
163 VETERANS DR
WHITE RIVER JUNCTION, VT 05009-7451
Phone: (254) 743-0311 Fax:
Mailing address
PO BOX 261
QUECHEE, VT 05059-0261
Phone: (254) 718-5117 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
TX S2330

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.