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Mark Shea Henderson, M.D.

Surgery Physician in Sikeston, MO · enumerated 2006 · practices at Total Renal Care Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639139876

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Registry record

Entity type Individual (Type 1)
Name Mark Shea Henderson
Credential M.D.
Sex Male
Practice address 135 Plaza Dr, Suite 202, Sikeston, MO, 63801
Fax (573) 472-7159
Enumeration date Mar 23, 2006
Last updated in NPPES Jan 24, 2012

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License J4200 (TX) Primary
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
8BF145 Other TX BCBS
113358901 Medicaid TX
113358905 Medicaid TX
113358906 Medicaid TX
113358907 Medicaid TX
990010000 Other TX MCARE RR

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mark Henderson?
The National Provider Identifier (NPI) for Mark Henderson is 1639139876, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mark Henderson practice?
The practice location on file with NPPES is in Sikeston, MO. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-24.