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MARY SUSAN HENDERSON M.D.
NPI 1972539773
Obstetrics & Gynecology in Lake Village, AR

Active since June 23, 2006
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653(870) 265-9380(870) 265-9389 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Susan Henderson M.d. NPPES

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

MARY SUSAN HENDERSON M.D. (NPI 1972539773) is an individual obstetrics & gynecology provider in Lake Village, Arkansas, licensed in Arkansas (E-4988) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1972539773
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY SUSAN HENDERSONCredential: M.D.
Location Address2729 S HIGHWAY 65 82Lake Village, AR 71653-6136
Mailing Address2729 S Highway 65 82Lake Village, AR 71653-6136 · (870) 265-9380 · Fax (870) 265-9389
Phone(870) 265-9380
Fax(870) 265-9389
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateJune 4, 2014
✔ NPI 1972539773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AR · E-4988
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2729 S HIGHWAY 65 82, Lake Village, AR 71653
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Other Identifiers 3

Medicare ID-Type Unspecified5N437LA
Medicaid1381659LA
Medicare UPINE75057LA

Other Providers at the Same Location NPPES 10

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

JOE WRIGHT CRNA
Nurse Anesthetist, Certified Registered
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351
THEERASAK TUANGSITHTANON M.D.
Specialist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5074
RICHARD C SMITH MD
Radiology (Diagnostic Radiology)
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 632-9091
MICHAEL BRADLEY MAYFIELD MD PA
Surgery
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-9364
DR. DAVID BRUCE FRENCH PHARM.D.
Pharmacist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5351
PAIGE PITTMAN PATRICK FNP
Nurse Practitioner (Primary Care)
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-9365
BROOKE MOSOW SPEECH PATHOLOGIST
Speech-Language Pathologist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-9200
CHICOT RADIOLOGY CONSULTANT
Specialist
2729 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653
Chicot County (870) 265-5074

Frequently Asked Questions

What is Mary Henderson's NPI number?

The NPI number assigned to this healthcare provider is 1972539773, enumerated as an "individual" on June 23, 2006.

Where is the provider located?

The provider is located at 2729 S HIGHWAY 65 82 LAKE VILLAGE, AR 71653 and the phone number is (870) 265-9380.

What is the provider's specialty?

Obstetrics & Gynecology with taxonomy code 207V00000X.

What insurance does Mary Henderson accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.