Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark T Henderson, MD

Individual provider Emergency Medicine Physician · NPI 1255372868

Dr. Mark T Henderson, MD is an Emergency Medicine in Louisville, Kentucky. Graduated from Louisiana State University School of Medicine in New Orleans in 1996, 30 years ago. Practices with MD Ally Services PA, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
30
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
KY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

812 S 3rd St
Louisville, KY 40203-2214
Phone: (502) 290-2501
Fax: (502) 287-1775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 33009 (KY)

Record details

NPI number1255372868
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2006
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1996 (30 years in practice)
Group practice Md Ally Services Pa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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