JEFFREY HENRY (NPI# 1154940310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154940310 |
| Entity Type | Individual |
| Full Name | JEFFREY HENRY |
| Credential | MD |
| Practice Address |
263 Farmington Avenue Farmington CT 06030-1930 |
| Mailing Address |
263 Farmington Ave Farmington CT 06030-1921 |
| Practice Telephone | 8606794988 |
| Practice Fax Number | 8606793489 |
| Mailing Telephone | 8606792147 |
| Mailing Fax Number | 8606794624 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859766 | Jeffrey Henry | Registered Nurse | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-07-31 |
| 1194872945 | Jeffrey Lorence Henry | Chiropractor | 7730 N Union Blvd, Suite 105, Colorado Springs, CO 80920-4084 | 2007-01-04 |
| 1154397743 | Jeffrey D Henry | Family Medicine | 2509 Canterbury Dr, Hays, KS 67601-2233 | 2006-02-24 |
| Street Address |
263 FARMINGTON AVENUE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466561 | State of Connecticut | Clinic/Center | 263 Farmington Avenue, Farmington, CT 06030-5355 | 2005-09-07 |
| 1619584026 | Sylvia Polanco | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8203 | 2020-09-29 |
| 1154930956 | Lindsay Allison Petriello | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030 | 2020-07-28 |
| 1891304663 | Kara Dazkevich | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-0001 | 2020-07-28 |
| 1093324873 | Kaitlin Jeanne O'connor | Nurse Practitioner | 263 Farmington Avenue, Icu, University Tower, 1st Floor, Mail Code: 1131, Farmington, CT 06030 | 2020-07-28 |
| 1457975070 | Shriya Gupta | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Uconn Health - Outpatient Pavilion, Farmington, CT 06030-8031 | 2020-05-29 |
| 1114540150 | Carolina Mendes Pessoa | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, 2 West Uconn Clinic, Internal Medicine Associates, Ou, Farmington, CT 06032 | 2020-05-26 |
| 1457971293 | Christopher Dalton Lemoine | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-8073 | 2020-04-22 |
| 1871112953 | Cory Hewitt | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-4037 | 2020-04-09 |
| 1457980070 | Jennifer Hale | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-8073 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949459 | Tamara Wittrock | Student in an Organized Health Care Education/Training Program | 5111 Robin Ln, Farmington, MN 55024-2007 | 2020-07-14 |
| 1700401759 | William Cody Alley | Student in an Organized Health Care Education/Training Program | 1136 Heather Cir, Farmington, UT 84025-4305 | 2020-06-15 |
| 1497370456 | Tanner Winger | Student in an Organized Health Care Education/Training Program | 1405 Fairway Cir, Farmington, UT 84025-2817 | 2020-06-15 |
| 1154945855 | Shelby Ann Oswald | Student in an Organized Health Care Education/Training Program | 19976 Butternut Trl, Farmington, MN 55024-1475 | 2020-05-29 |
| 1417579434 | Herbert E Downton Ramos | Student in an Organized Health Care Education/Training Program | Surgery Residency Program, 263 Farmington Avenue, Farmington, CT 06030-8073 | 2020-05-13 |
| 1710507272 | Ethan A Miller | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine - Graduate Medical Education, 263 Farmington Avenue - Lm068, Farmington, CT 06030-1921 | 2020-04-24 |
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1265061808 | Benjamin Mucci | Student in an Organized Health Care Education/Training Program | 43 Portage Xing, Farmington, CT 06032-2737 | 2020-04-06 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
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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.