MEDICARE: DR. PAMELA RENEE HENDERSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	215993	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134122666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA RENEE HENDERSON M.D.

Provider Business Mailing Address
First Line	:	299 CAREW ST
Second Line	:	STE 400
City	:	SPRINGFIELD
State	:	MA
Zip	:	01104-2361
Country	:	US
Telephone Number	:	413-733-1818
Fax Number	:	413-732-2341

Provider Business Practice Location Address
First Line	:	299 CAREW ST
Second Line	:	STE 400
City	:	SPRINGFIELD
State	:	MA
Zip	:	01104-2361
Country	:	US
Telephone Number	:	413-733-1818
Fax Number	:	413-732-2341

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2005
Last Update Date	:	11/30/2012

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1497849913 — ALLEN R BERKOWITZ MD
Practice Location Address:

299 CAREW ST STE 409
SPRINGFIELD, MA
01104-2361

Practice Phone: 413-788-7321
Practice Fax: 413-733-6369

1487130530 — DARYLE A RUARK MD ORTHOPEDIC SURGEON PC
Practice Location Address:

299 CAREW ST STE 409
SPRINGFIELD, MA
01104-2361

Practice Phone: 413-788-7321
Practice Fax: 413-733-6369

1982266011 — PATRICIA PERKINS NP
Practice Location Address:

299 CAREW ST STE 410
SPRINGFIELD, MA
01104-2361

Practice Phone: 413-748-9628
Practice Fax:

1598430324 — ABDILLAHI S HUSSEIN
Practice Location Address:

299 CAREW ST STE 134
SPRINGFIELD, MA
01104-2361

Practice Phone: 413-291-9020
Practice Fax:

1871246769 — IMMIGRANT COMMUNITY DEVELOPMENT CENTER INC
Practice Location Address:

299 CAREW ST STE 134
SPRINGFIELD, MA
01104-2361

Practice Phone: 413-291-9020
Practice Fax:

Directions to “ DR. PAMELA RENEE HENDERSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.