DR. CHARLES STEPHEN HENRY (NPI# 1134211931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134211931 |
Entity Type | Individual |
Full Name | DR. CHARLES STEPHEN HENRY |
Credential | MD |
Practice Address |
581 Lakewood Ln Marquette MI 49855-9544 |
Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
Practice Telephone | 9525951100 |
Practice Fax Number | 6122944903 |
Mailing Telephone | 9525951301 |
Mailing Fax Number | 6122944903 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2015-06-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
042-0011560 | VT | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301070130 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841541752 | Charles R Henry Jr. | Obstetrics & Gynecology | 5320 Sherwood Rd, Little Rock, AR 72207-5332 | 2012-10-02 |
1780874891 | Charles Andrew Henry | Massage Therapist | 3240 Valencia Dr, Naples, FL 34120-1449 | 2007-07-26 |
1316085459 | Charles Patrick Henry | Dentist | 105 N. Lydia Street, Ossian, IA 52161 | 2007-02-01 |
1548251200 | Charles R Henry | Otolaryngology | 4880 Cascade Rd Se, Grand Rapids, MI 49546-3721 | 2005-11-02 |
1588096770 | Charles Henry | Case Manager/Care Coordinator | 1309 N Church St, Atkins, AR 72823-3230 | 2013-07-30 |
1144364217 | Charles H Henry | Dentist | 18555 N 79th Ave, Suite A104, Glendale, AZ 85708-8371 | 2007-02-20 |
1851483192 | Charles Hamman Henry | Dentist | 40 Mechanic St, Keene, NH 03431-3421 | 2006-09-28 |
1770684458 | Charles Alfred Henry | Psychiatry & Neurology | 1 Brookline Place, Suite 502, Brookline, MA 02445 | 2006-09-26 |
1245201995 | Charles S Henry | Internal Medicine | 7777 Southwest Fwy Ste 304, Houston, TX 77074-1813 | 2006-01-31 |
Street Address |
581 LAKEWOOD LN |
City | MARQUETTE |
State | MI |
Zip Code | 49855-9544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
Find all providers in zip 49855 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912099714 | Heidi Kristine Henry | Radiology | 420 E Hewitt Ave, Marquette, MI 49855-3714 | 2006-09-29 |
1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
1427383009 | Marquette General Hospital, Inc. | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2009-10-15 |
1841450772 | John Pietila | Radiology | 710 Chippewa Sq, Suite 101, Marquette, MI 49855-4821 | 2008-06-13 |
1396916094 | Excalibur Medical Imaging, LLC | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2008-03-20 |
1275672867 | Hasnain Haider-shah | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2007-02-06 |
1902998792 | Stephane Grijseels | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-09-29 |
1730283805 | Christina Arnoldus | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2006-09-11 |
1003847856 | Northcoast Radiology Associates, PC | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-07-06 |
Find all providers in MARQUETTE |
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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.