DAVID HENRY (NPI# 1003215047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003215047 |
| Entity Type | Individual |
| Full Name | DAVID HENRY |
| Practice Address |
509 N Peru St Cicero IN 46034-9499 |
| Mailing Address |
Po Box 775985 Chicago IL 60677-5985 |
| Practice Telephone | 3179849311 |
| Practice Fax Number | 3179849302 |
| Mailing Telephone | 3177706900 |
| Mailing Fax Number | 3177706911 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10001704A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 241888770 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467893818 | David Henry | Home Health Aide | 2750 Shipley Ter Se, Washington, DC 20020-1807 | 2013-07-15 |
| 1265708515 | David Patrick Henry Sr. | Contractor | 47 Valley Estates Dr, 72212, Little Rock, AR 72212-4412 | 2012-03-30 |
| 1285861120 | David Edward Henry | Surgery | 111 Hekili St Ste A481, Kailua, HI 96734 | 2009-06-18 |
| 1235375924 | David Patterson Henry II | Internal Medicine | 73203 Burrington, Chapel Hill, NC 27517-8575 | 2008-12-30 |
| 1801838917 | David S Henry | Obstetrics & Gynecology | 1444 Coffee Road, Modesto, CA 95355 | 2006-06-12 |
| 1316908999 | David Henry | Physician Assistant | 172 Inner Loop, Weed Army Community Hospital, Ft. Irwin, CA 92310 | 2006-03-31 |
| 1841804333 | David Henry | Psychologist | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-02 |
| 1609339043 | David Henry | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2019-04-11 |
| 1417429556 | David Henry | Community Health Worker | 100 N Broadway, Irvington, NY 10533-1254 | 2018-12-31 |
| 1952812265 | David Osborne Henry | Physician Assistant | 2401 Northampton St Ste 140, Easton, PA 18045-2764 | 2017-10-14 |
| Street Address |
509 N PERU ST |
| City | CICERO |
| State | IN |
| Zip Code | 46034-9499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558348896 | Charles R Harris | Family Medicine | 509 N Peru St, Cicero, IN 46034-9499 | 2005-12-28 |
| 1174788780 | Jeremy G Fisk | Family Medicine | 509 N Peru St, Cicero, IN 46034-9499 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548486905 | Mark R Montgomery | Dentist | 130 W Jackson St, Cicero, IN 46034 | 2007-04-17 |
| 1689710170 | Thomas Jerry Elliott Sr. | Dentist | 17 West Jackson St., Cicero, IN 46034 | 2007-01-30 |
| 1144285719 | Mary Angela Shirley | Social Worker | 209 S Peru St, Ste 210-211, Cicero, IN 46034 | 2006-04-18 |
| 1164486601 | Nancy Leah Shirley | Social Worker | 209 S Peru Street, Suite 210 211, Cicero, IN 46034 | 2006-04-13 |
| 1700867827 | Richard Edward Hayes | Family Medicine | 1160 S. Peru Street, S.r. 19, Cicero, IN 46034 | 2005-11-07 |
| 1306251897 | Jon Purkey | Specialist/Technologist | 230 Washington Avenue, Cicero, IN 46034-0321 | 2014-06-24 |
| 1477836070 | Myrtie B Mays | Specialist | 22345 Schulley Rd, Cicero, IN 46034-8800 | 2011-09-21 |
| 1609002724 | Hoosier Dentures & Dental Surgery, LLC | Clinic/Center | 1200 S Peru St, Cicero, IN 46034-9161 | 2009-06-03 |
| 1710549142 | Julie Baber | Technician | 1180 Coral Springs Dr, Cicero, IN 46034-9214 | 2019-07-05 |
| 1669592572 | Shelley Kunkel | Developmental Therapist | 1215 Coral Springs Dr, Cicero, IN 46034-9217 | 2007-04-02 |
| Find all providers in zip 46034 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405772 | Brian Spies | Physician Assistant | 5801 Sutton Dr, Cicero, NY 13039-9546 | 2020-10-22 |
| 1780238212 | Cody Hodgson | Physician Assistant | 6993 Van Antwerp Drive, East, Cicero, NY 13039 | 2019-08-01 |
| 1295272367 | Jhad Mozeb | Physician Assistant | 6277 Addison Loomis, Cicero, NY 13039-8685 | 2017-01-26 |
| 1144772039 | Jennifer Ambrose | Physician Assistant | 8393 Elta Dr, Cicero, NY 13039-8958 | 2016-10-26 |
| 1346502408 | Diane Lorraine Stadtmiller | Physician Assistant | 6112 Cobblestone Dr, Suite F8, Cicero, NY 13039-9001 | 2012-06-13 |
| 1619980976 | Laurel Anne Delorme | Physician Assistant | 8003 Brewerton Rd, Cicero, NY 13039-9528 | 2006-08-15 |
| 1295713592 | Mark A Mazzye Sr. | Physician Assistant | 5586 Legionnaire Dr, Suite 1, Cicero, NY 13039-3504 | 2006-01-06 |
| 1912994054 | Naveed Hyderi | Physician Assistant | 5817 W Cermak Rd, Cicero, IL 60804-2132 | 2005-10-04 |
| 1740555044 | Gittel Mindick | Physician Assistant | 6001 W Cermak Rd, Cicero, IL 60804-2018 | 2012-03-20 |
| 1861655896 | Brynne Kathleen Nosko | Physician Assistant | 5586 Legionnaire Dr, Suite 1, Cicero, NY 13039-3504 | 2008-07-09 |
| Find all providers in CICERO | ||||
Please comment or provide details below to improve the information on DAVID HENRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.