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HENDERSONS MINOR OUTPATIENT MEDICINE, LLC
NPI 1811947070
Family Medicine in Henderson, KY

Active since May 10, 2006CLIA 18D0928245 · Microscopy
1015 N ELM ST, HENDERSON, KY 42420(270) 826-8009(270) 826-7010 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hendersons Minor Outpatient Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENDERSONS MINOR OUTPATIENT MEDICINE, LLC (NPI 1811947070) is a healthcare organization registered as a family medicine in Henderson, Kentucky and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through May 11, 2027 and lists David Watkins, Partner, as its authorized official.

NPPES Registry Identity

NPI1811947070
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHENDERSONS MINOR OUTPATIENT MEDICINE, LLC
Location Address1015 N ELM STHenderson, KY 42420-2712
Mailing Address1015 N Elm StHenderson, KY 42420-2712 · (270) 826-8009 · Fax (270) 826-7010
Phone(270) 826-8009
Fax(270) 826-7010
Organization SubpartNo
Authorized OfficialDavid WatkinsPartner · (270) 826-8009
Enumeration DateMay 10, 2006
Last NPPES UpdateFebruary 3, 2010
✔ NPI 1811947070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
1015 N ELM ST, Henderson, KY 42420
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified8649KY · Ky Mcr
Medicaid65928160KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D0928245

Henderson Minor Outpatient Medicine · Henderson, KY
Active · expires May 11, 2027
CLIA Number18D0928245
Laboratory TypeOther
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorNhan Nguyen
Laboratory Phone(270) 826-8009
Laboratory LocationHenderson Minor Outpatient Medicine1015 N Elm St, Henderson, KY 42420
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID A WATKINS M.D.
Family Medicine
1015 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 826-8009
DR. JAIME TIU M.D.
Family Medicine
1015 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 826-8009
JOHN W MCCLELLAN JR. MD
Family Medicine
1015 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 826-8009
PAULA S FRALEY PA-C
Physician Assistant (Medical)
1015 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 826-8009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hendersons Minor Outpatient Medicine, LLC's NPI number?

The NPI number for Hendersons Minor Outpatient Medicine, LLC is 1811947070. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Hendersons Minor Outpatient Medicine, LLC located?

Hendersons Minor Outpatient Medicine, LLC is located at 1015 N Elm St, Henderson, KY 42420. The listed phone number is (270) 826-8009.

What is Hendersons Minor Outpatient Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Hendersons Minor Outpatient Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D0928245) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hendersons Minor Outpatient Medicine, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Hendersons Minor Outpatient Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hendersons Minor Outpatient Medicine, LLC was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.