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Deactivated NPI 1114129616 Deactivated / Inactive NPI Male Practitioner

Benjamin Franklin Henderson , PA

Physician Assistant • Shonto, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Benjamin Henderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2007
NPI Deactivation Date August 24, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Benjamin Henderson, PA was a registered Physician Assistant practicing in Shonto, AZ. Throughout an active medical career spanning 13 years, Benjamin Henderson provided care at the practice location at INSCRIPTION HOUSE HEALTH CENTER until profile deactivation on 2020-08-24.

Practice Location & Contact Primary Location

Practice Address

Inscription House Health Center
Junction Hwy 98and Nav Rte 16

Shonto, AZ 86054

Telephone 9286723000
Fax 9286723015
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Shonto, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Shonto, AZ (3711 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License None NONE

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1083795108

Doctor of Medicine (M.D.)

Christos Addai-Achampong , RN

Registered Nurse - Ambulatory Care

NPI 1124268271

Registered Nurse

Cynthia Dah , DNP-FNP-C, RN

Nurse Practitioner - Family

NPI 1144613308

DNPFNPC, Registered Nurse

NPI 1326038019

Doctor of Dental Surgery

Kimberly Lynes , RN

Registered Nurse

NPI 1356689400

Registered Nurse

Pearl Kloac , FNP

Nurse Practitioner - Family

NPI 1427143593

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 24, 2020

Record deactivated on August 24, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at INSCRIPTION HOUSE HEALTH CENTER, JUNCTION HWY 98AND NAV RTE 16, SHONTO, AZ 86054 (Tel: 9286723000)

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Updated Business Mailing Address July 08, 2007

Registered at HC 70 BOX 6, TONALEA, AZ 86044 (Tel: 9286722434)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BENJAMIN HENDERSON, P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #NONE in None)

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Initial NPI Registration & Enumeration June 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114129616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2007
Last Update: July 08, 2007
Deactivation Date: August 24, 2020

Mailing Address

Hc 70 Box 6

Tonalea, AZ 86044

Phone: 9286722434

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.