SUZANNE BROWN HENRY (NPI# 1336116953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336116953 |
Entity Type | Individual |
Full Name | SUZANNE BROWN HENRY |
Credential | MD |
Practice Address |
2593 Holiday Rd Coralville IA 52241 |
Mailing Address |
21 East View Place Ne Iowa City IA 52240 |
Practice Telephone | 3192480065 |
Mailing Telephone | 3192483013 |
Enumeration Date | 2006-03-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35935 | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | WELLMARK | 39732 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922005008 | Suzanne Henry | Nurse Anesthetist, Certified Registered | 45 Reade Pl, Anesthesia Department, Poughkeepsie, NY 12601-3947 | 2005-07-05 |
Street Address |
2593 HOLIDAY RD |
City | CORALVILLE |
State | IA |
Zip Code | 52241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659785897 | Joslyn Marie Hager | Pediatrics | 2593 Holiday Rd, Coralville, IA 52241-2781 | 2014-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
Find all providers in zip 52241 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740623784 | Renuka Velisetty | Psychiatry & Neurology | 411 Laurel St Ste 3310, Des Moines, IA 50314-3027 | 2013-04-09 |
1053627182 | Neuropsychiatric Medicine Clinic Pllc | Psychiatry & Neurology | 511 S 3rd St, Clinton, IA 52732-4357 | 2010-08-26 |
1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
1104032002 | Kathryn Anne Kvederis | Psychiatry & Neurology | 3105 Druid Hill Dr, Des Moines, IA 50315-2122 | 2007-05-15 |
1922182849 | Harry William Fischer | Psychiatry & Neurology | 17752 Chariot Rd, Elkader, IA 52043-8136 | 2006-10-25 |
1750329314 | Child Psychiatry Associates PC | Psychiatry & Neurology | 939 Office Park Rd, Ste 200, West Des Moines, IA 50265-2505 | 2006-06-03 |
1982675559 | Ivan Delgado-ramos | Psychiatry & Neurology | 1500 E 10th St, Atlantic, IA 50022-1935 | 2006-01-31 |
1477045797 | Chantal Julitta Rozmus | Psychiatry & Neurology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-06-01 |
1073870226 | Teresa Marie Dolphin-shaw | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2012-04-12 |
1972739894 | Amanda Courtney Elliott | Psychiatry & Neurology | 200 Hawkins Dr, Department of Psychiatry - 1870 Jpp, Iowa City, IA 52242-1009 | 2009-06-05 |
Find all providers with the same taxonomy |
City | CORALVILLE |
Zip Code | 52241 |
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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.