MEDICARE: DR. LEIGH HENDERSON MD

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	208100000X	Physical Medicine & Rehabilitation Physician	E-15271	AR
2	208100000X	Physical Medicine & Rehabilitation Physician	022103	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	250013408	OTHER	LA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1053315846	OTHER	LA	GROUP NPI NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194729061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEIGH HENDERSON MD

Provider Business Mailing Address
First Line	:	11001 EXECUTIVE CENTER DR STE 200
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-4393
Country	:	US
Telephone Number	:	501-812-7800
Fax Number	:	501-812-7215

Provider Business Practice Location Address
First Line	:	9501 BAPTIST HEALTH DR FL 1
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-6225
Country	:	US
Telephone Number	:	501-202-7395
Fax Number	:	501-202-7333

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	01/15/2026

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Directions to “ DR. LEIGH HENDERSON MD” Practice Location

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