MEDICARE: CLYDE E 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	207X00000X	Orthopaedic Surgery Physician	35042182	OH
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	35042182	OH

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	:	1578546412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLYDE E HENDERSON MD

Provider Business Mailing Address
First Line	:	PO BOX 637783
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-7783
Country	:	US
Telephone Number	:	513-853-4749
Fax Number	:	513-853-4740

Provider Business Practice Location Address
First Line	:	4600 SMITH RD
Second Line	:	SUITE B
City	:	NORWOOD
State	:	OH
Zip	:	45212-2793
Country	:	US
Telephone Number	:	513-221-4848
Fax Number	:	513-872-7825

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	07/01/2014

Similar Medicare Providers

1427057124 — DR. DAVID NOEL LASSE O.D.
Practice Location Address:

4600 SMITH RD
NORWOOD, OH
45212-2793

Practice Phone: 513-631-8889
Practice Fax: 513-631-8891

1891778866 — JEFFERY L STAMBOUGH MD
Practice Location Address:

4600 SMITH RD , SUITE B
NORWOOD, OH
45212-2793

Practice Phone: 513-221-4848
Practice Fax: 513-872-7825

1831172568 — THOMAS E SHOCKLEY JR. MD
Practice Location Address:

4600 SMITH RD , SUITE B
NORWOOD, OH
45212-2793

Practice Phone: 513-221-4848
Practice Fax: 513-872-7825

1164405809 — HAIM COHEN DPM
Practice Location Address:

4600 SMITH RD , STE B
NORWOOD, OH
45212-2793

Practice Phone: 513-221-4848
Practice Fax: 513-872-7825

1154523686 — STEVEN REED MD
Practice Location Address:

4600 SMITH RD , SUITE A4
NORWOOD, OH
45212-2793

Practice Phone: 513-351-2494
Practice Fax:

1629256995 — DR. DAVID N LASSE
Practice Location Address:

4600 SMITH RD
NORWOOD, OH
45212-2793

Practice Phone: 513-631-8889
Practice Fax: 513-631-8891

Directions to “ CLYDE E HENDERSON MD” 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.