DR. CHARLES R HENRY


Address: 4880 Cascade Rd Se, Grand Rapids, MI 49546-3721
Phone: 6169549300

DR. CHARLES R HENRY (NPI# 1548251200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548251200
Entity Type Individual
Full Name DR. CHARLES R HENRY
Credential M.D.
Practice Address 4880 Cascade Rd Se
Grand Rapids
MI 49546-3721
Practice Telephone 6169549300
Practice Fax Number 6169549543
Mailing Telephone 6169549300
Mailing Fax Number 6169549543
Enumeration Date 2005-11-02
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 4301027800 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1168455 05

Other Providers CHARLES HENRY

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
1134211931 Charles Stephen Henry Radiology 581 Lakewood Ln, Marquette, MI 49855-9544 2006-09-29
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

Office Location

Street Address 4880 CASCADE RD SE
City GRAND RAPIDS
State MI
Zip Code 49546-3721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275613838 James Christopher Papp Dentist 4880 Cascade Rd Se, Suite B, Grand Rapids, MI 49546-3721 2006-10-17
1699791525 Ent Consultants Plc Otolaryngology 4880 Cascade Rd Se, Grand Rapids, MI 49546-3721 2006-07-14
1134109036 Tina M Howard-palmer Audiologist 4880 Cascade Rd Se, Grand Rapids, MI 49546-3721 2006-01-18
1386635969 Robert L Daniels Otolaryngology 4880 Cascade Rd Se, Grand Rapids, MI 49546-3721 2005-11-02
1275524951 Darryl J Elzinga Otolaryngology 4880 Cascade Rd Se, Grand Rapids, MI 49546-3721 2005-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
Find all providers in zip 49546

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659591204 Kent Otolaryngology Associates, P.C. Otolaryngology 222 Fulton St E, Grand Rapids, MI 49503-3211 2007-04-26
1609917186 Family Ear Nose Throat & Allergy Otolaryngology 961 4 Mile Rd Nw, Suite A, Grand Rapids, MI 49544-1502 2007-02-09
1508824152 Andrew Paul Barak Otolaryngology 2323 E Paris Ave Se, Ste 102, Grand Rapids, MI 49546-2414 2006-05-03
1205837689 John P Roche Otolaryngology 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 2005-08-09
1043629231 Veronique Wan Fook Cheung Otolaryngology 145 Michigan St Ne Ste 2220, Grand Rapids, MI 49503-2562 2014-08-13
1003235755 James D Thompson Otolaryngology 145 Michigan St Ne, Grand Rapids, MI 49503-2562 2014-04-09
1376709337 Kenneth H Markiewicz Do PC Otolaryngology 2323 E Paris Ave Se, Grand Rapids, MI 49546-2414 2008-07-30
1174727010 Todd D Jones Otolaryngology 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2007-06-13
1154532448 Chad Afman Otolaryngology 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2007-05-25
1801005251 Andrew Charles Heaford Otolaryngology 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2007-05-22
Find all providers in GRAND RAPIDS

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City GRAND RAPIDS
Zip Code 49546

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Dataset Information

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.

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