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

Steven Royce Henderson, PAC

Individual provider Medical Physician Assistant · NPI 1104036144

Steven Royce Henderson, PAC is a Physician Assistant in Henderson, Nevada. Graduated from University of Southern California Keck School of Medicine in 1990, 36 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
36
Trained at
University of Southern California Keck School of Medicine
Licensed in
NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2350 Corporate Cir Ste 101
Henderson, NV 89074-7737
Phone: (702) 938-0088
Fax: (702) 260-4689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 512 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 512 (NV)

Record details

NPI number1104036144
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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