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

Henry Othersen Jr., MD

Individual provider Pediatric Surgery Physician · NPI 1073628913

Henry Othersen Jr., MD is a Pediatric Surgery Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
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

171 Ashley Ave
Charleston, SC 29425-0001
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 3602 (SC)

Record details

NPI number1073628913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 8, 2007

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