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

Shasta Elizabeth Henderson, MD

Individual provider Orthopaedic Trauma Physician · NPI 1316383953

Shasta Elizabeth Henderson, MD is an Orthopedic Surgery in Glendale, Arizona. Graduated from Wake Forest University School of Medicine in 2013, 13 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and South Carolina.

Years since qualifying
13
Trained at
Wake Forest University School of Medicine
Licensed in
AZ, SC
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5601 W Eugie Ave Ste 100
Glendale, AZ 85304-1256
Phone: (602) 865-4510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9291 Medical Plaza Dr, Charleston, SC 29406-9126 — (843) 764-1730

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X · Licence 74368 (AZ)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence 83022 (SC)

Record details

NPI number1316383953
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2013
Last updated in NPPESMay 11, 2025
Certification dateMay 11, 2025

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount