MR. SAMUEL B HENDERSON SA-C
NPI 1578787792
Physician Assistant - Surgical in Converse, TX
NPI Status: Active since April 11, 2007
Contact Information
5918 DEWDROP LANE
CONVERSE, TX
ZIP 78109
Phone: (830) 734-2689
Fax: (210) 475-3995
- Individual
- Male
- Physician Assistant
- Surgical
About SAMUEL HENDERSON
This page provides the complete NPI Profile along with additional information for Samuel Henderson, a provider established in Converse, Texas with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1578787792 assigned on April 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 10-143 (TX). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1578787792
- Provider Name
- MR. SAMUEL B HENDERSON SA-C
- Other Name
- SAMUEL B HENDERSON SA-C
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5918 DEWDROP LANE CONVERSE, TX 78109
- Location Phone
- (830) 734-2689
- Location Fax
- (210) 475-3995
- Mailing Address
- 5918 DEWDROP LANE CONVERSE, TX 78109
- Mailing Phone
- (830) 734-2689
- Mailing Fax
- (210) 475-3995
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-11-2007
- Last Update Date
- 07-06-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 10-143
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 246ZC0007X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | 10-143 (TX) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578787792, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 78 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578787792, enumerated as an "individual" on April 11, 2007.
The provider is located at 5918 DEWDROP LANE CONVERSE, TX 78109 and the phone number is (830) 734-2689.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
