DR. ROY A HENRY (NPI# 1184766255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184766255 |
| Entity Type | Individual |
| Full Name | DR. ROY A HENRY |
| Credential | MD |
| Practice Address |
3231 S National Ave Suite 100 Springfield MO 65807-7304 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178850810 |
| Practice Fax Number | 4178886740 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | R5B75 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201591336 | 05 | |
| MO | MO BLUE SHIELD | 24543 | 01 |
| AR | ARK BLUE SHIELD | 82174 | 01 |
| AR | 109802001 | 05 |
| Street Address |
3231 S NATIONAL AVE SUITE 100 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999386 | Geoffery Lynn Stanczyk | Obstetrics & Gynecology | 3231 S National Ave, Suite 250, Springfield, MO 65807-7304 | 2005-08-12 |
| 1659819274 | Melanie Marsh | Nurse Practitioner | 3231 S National Ave, Ste 240, Springfield, MO 65807-7304 | 2017-02-02 |
| 1336521798 | Wendy L. Robinson | Nurse Practitioner | 3231 S National Ave, Suite 115, Springfield, MO 65807-7304 | 2015-06-22 |
| 1134501695 | Carla K. Athen | Nurse Practitioner | 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 | 2015-06-22 |
| 1306241518 | Dawn L. Webb | Registered Nurse | 3231 S National Ave, Suite 425, Springfield, MO 65807-7304 | 2014-10-30 |
| 1417397472 | Kanya L Ahuja | Pediatrics | 3231 S National Ave, Ste 100, Springfield, MO 65807-7304 | 2013-07-04 |
| 1386986545 | Bennett Adam Bolyard | Internal Medicine | 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 | 2013-03-25 |
| 1962741918 | Vanessa L. Montileone | Registered Nurse | 3231 S National Ave, Suite 430, Springfield, MO 65807-7304 | 2013-02-12 |
| 1801133343 | Stephanie Kirsten Voorhis | Nurse Practitioner | 3231 S National Ave, Ste 140, Springfield, MO 65807-7304 | 2013-01-03 |
| 1679824395 | Ashley N. Duey | Nurse Practitioner | 3231 S National Ave, Springfield, MO 65807-7304 | 2012-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1306208368 | Mckenzie Smith | Pediatrics | 2115 S Fremont Ave Ste 2900, Springfield, MO 65804-2233 | 2016-03-28 |
| 1790181402 | Sonam Verma | Pediatrics | 400 N 9th St # 4a, Springfield, IL 62702-5310 | 2014-11-06 |
| 1619382132 | Eric D Mcfeely | Pediatrics | 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 | 2014-06-23 |
| 1073923231 | Charlotte Mcknight | Pediatrics | 6120 Brandon Ave Ste 308, Springfield, VA 22150-2504 | 2014-04-28 |
| 1336437078 | Rashmi Jain | Pediatrics | 1965 S Fremont Ave Ste 260, Springfield, MO 65804-2257 | 2011-07-15 |
| 1861785958 | Sienna Vorono Winer | Pediatrics | 6501 Loisdale Ct., Springfield, VA 22150 | 2011-05-23 |
| 1649581570 | Kendra Suzanne Woods | Pediatrics | 415 N 9th St Ste 2w126, Springfield, IL 62702-5303 | 2010-06-25 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1417105024 | Stephen Edward Saunders | Pediatrics | 5 Orchard Ln, Springfield, IL 62712-8911 | 2008-09-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.