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Deactivated NPI 1497443642 Deactivated / Inactive NPI Female Practitioner

Krystal Marie Henderson

Surgery • Columbus, OH

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

Registration / Start Date April 26, 2023
NPI Deactivation Date March 26, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Krystal Henderson was a registered Surgery practicing in Columbus, OH. Throughout an active medical career spanning 1 years, Krystal Henderson provided care at the practice location at 395 W 12TH AVE STE 662 until profile deactivation on 2024-03-26.

Practice Location & Contact Primary Location

Practice Address

395 W 12th Ave Ste 662

Columbus, OH 432101267

Telephone 6142938704
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
125 Specialists

Practicing in Columbus, OH (1313 Statewide)

Telehealth Adoption Rate
8.8% 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

CMS Verified: 2024-04-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 57.256856

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Snigdha Gulati , MD

Student in an Organized Health Care Education/Training Program

NPI 1003619404

Doctor of Medicine (M.D.)

Rahul Rodrigues

Student in an Organized Health Care Education/Training Program

NPI 1003746413
Shachi Srivatsa

Student in an Organized Health Care Education/Training Program

NPI 1013594852
NPI 1023753696

Doctor of Medicine (M.D.)

Dr. Jherah Powell , DDS

Student in an Organized Health Care Education/Training Program

NPI 1023956976

Doctor of Dental Surgery

Dr. Paulos Mengsteab , MD

Student in an Organized Health Care Education/Training Program

NPI 1053171934

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location April 30, 2024

Registered at 395 W 12TH AVE STE 662, COLUMBUS, OH 432101267 (Tel: 6142938704)

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Updated Business Mailing Address April 30, 2024

Registered at 3900 RESERVOIR RD NW, WASHINGTON, DC 200072126

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Provider Name / Credentials Updated April 30, 2024

Recorded as KRYSTAL HENDERSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2024

Surgery (License #57.256856 in OH)

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NPI Profile Deactivated March 26, 2024

Record deactivated on March 26, 2024

NPI Profile Active April 26, 2023

NPI status registered as active in NPPES database

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Updated Practice Location April 26, 2023

Registered at 3900 RESERVOIR RD NW, WASHINGTON, DC 200072126 (Tel: 2028670100)

📍
Updated Business Mailing Address April 26, 2023

Registered at 3900 RESERVOIR RD NW, WASHINGTON, DC 200072126

👤
Provider Name / Credentials Updated April 26, 2023

Recorded as KRYSTAL HENDERSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2023

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration April 26, 2023

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: 1497443642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2023
Last Update: April 30, 2024
Deactivation Date: March 26, 2024
Sole Proprietor: No

Mailing Address

3900 Reservoir Rd Nw

Washington, DC 200072126

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.