JORDAN A. HENDERSON D.O. – NPI #1013200328
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

JORDAN HENDERSON is a physician located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1013200328 to JORDAN HENDERSON on May 18, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 8 years ago on Jun 22, 2018. 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 JORDAN HENDERSON below.

NPI Profile for
JORDAN A. HENDERSON

NPI Number
1013200328
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JORDAN A. HENDERSON
Credentials
D.O.
Primary location
8121 ROURK ST
MYRTLE BEACH, SC 29572
Phone: (843) 692-5000 Fax: (843) 692-5010
3 Other location(s):
817 Farrar Dr
Conway, SC 29526-8747
Phone: (843) 234-1660
Fax: (843) 234-1661
3008 Bayboro St
Loris, SC 29569-2714
Phone: (843) 756-0932
Fax: (843) 756-0508
4620 Highway 17
Murrells Inlet, SC 29576-5016
Phone: (843) 357-7357
Fax: (843) 357-7358
Mailing address
Same as primary location
Sole Proprietor
No
Updated
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
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)		 SC 39910
390200000X
- Student in an Organized Health Care Education/Training Program		 MI 5101019226

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.

Additional Information

Education
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JORDAN HENDERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • CONWAY MEDICAL CENTER
      300 SINGLETON RIDGE ROAD
      CONWAY, SC 29526
    • GRAND STRAND REGIONAL MEDICAL CENTER
      809 82ND PARKWAY
      MYRTLE BEACH, SC 29572

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.