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Deactivated NPI 1316942659 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Henderson , MD

Urology • Greeley, CO

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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, Dr. Stephen Henderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2005
NPI Deactivation Date October 05, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Henderson, MD was a registered Urology practicing in Greeley, CO. Throughout an active medical career spanning 13 years, Dr. Henderson provided care at the practice location at 1900 16TH ST until profile deactivation on 2018-10-05.

Practice Location & Contact Primary Location

Practice Address

1900 16th St

Greeley, CO 806315114

Telephone 9703502491
Fax 9703502492
Associated Practice Facility / Clinic
🏢 Greeley Medical Clinic Facility NPI 1336124700

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Greeley, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Greeley, CO (257 Statewide)

Telehealth Adoption Rate
22.2% 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

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CO 17103

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kathryn Milizio , PA-C

Physician Assistant

NPI 1023560034

Physician Assistant (Certified)

Dr. Steven Kading , MD

Internal Medicine - Gastroenterology

NPI 1033197900

Doctor of Medicine (M.D.)

Dr. Linda Young , MD

Family Medicine

NPI 1043270903

Doctor of Medicine (M.D.)

Deirdre Fagan , NP

Nurse Practitioner

NPI 1093786550

Nurse Practitioner

Dr. Michael Randle , MD

Internal Medicine

NPI 1124006853

Doctor of Medicine (M.D.)

NPI 1154309011

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated October 05, 2018

Record deactivated on October 05, 2018

NPI Profile Active February 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2017

Registered at 9195 GRANT ST, STE 305, THORNTON, CO 802294386 (Tel: 3033889321)

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Updated Business Mailing Address February 24, 2017

Registered at 120 OLD LARAMIE TRL, LAFAYETTE, CO 800267012 (Tel: 9703502491)

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Provider Name / Credentials Updated February 24, 2017

Recorded as STEPHEN HENDERSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2017

Urology (License #17103 in CO)

NPI Profile Active April 17, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 17, 2009

Registered at 1900 16TH ST, GREELEY, CO 806315114 (Tel: 9703502491)

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Updated Business Mailing Address April 17, 2009

Registered at 1900 16TH ST, GREELEY, CO 806315114 (Tel: 9703502491)

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Provider Name / Credentials Updated April 17, 2009

Recorded as STEPHEN HENDERSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2009

Urology (License #17103 in CO)

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Initial NPI Registration & Enumeration June 14, 2005

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: 1316942659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2005
Last Update: April 17, 2009
Deactivation Date: October 05, 2018

Mailing Address

1900 16th St

Greeley, CO 806315114

Phone: 9703502491

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.