Charles S Henry (NPI# 1134211931, PAC ID# 6901820620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1134211931 |
| PAC ID by PECOS | 6901820620 |
| Professional Enrollment ID | I20060123000169 |
| Full Name | Charles S Henry |
| Organization Legal Name | PALM DESERT RADIOLOGY MEDICAL GROUP INC |
| Address |
581 Lakewood Ln Marquette MI 49855-9544 |
| Phone Number | 7601134338 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0749173789 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050573 | EISENHOWER MEDICAL CENTER |
| 261330 | STE GENEVIEVE COUNTY MEMORIAL HOSPITAL |
| 421301 | ABBEVILLE AREA MEDICAL CENTER |
| 490127 | BUCHANAN GENERAL HOSPITAL |
| 051311 | ORCHARD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 195 Janes View Dr, Holland, MI 49424-2549 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 581 Lakewood Ln, Marquette, MI 49855-9544 | 7601134338 | PALM DESERT RADIOLOGY MEDICAL GROUP INC |
| 581 Lakewood Ln, Marquette, MI 49855-9544 | 3182124550 | RED RIVER CONSULTANTS INC |
| 581 Lakewood Ln, Marquette, MI 49855-9544 | 6153120600 | RADIOLOGY ALLIANCE PC |
| 581 Lakewood Ln, Marquette, MI 49855-9544 | 6263395464 | GLENDORA RADIOLOGICAL ASSOC INC |
| 581 Lakewood Ln, Marquette, MI 49855-9544 | 9063601232 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 581 Lakewood Ln, Marquette, MI 49855-9544 | 9042593151 | BAKER COMMUNITY HEALTH CENTER INC |
| 581 Lakewood Ln, Marquette, MI 49855-9544 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 581 Lakewood Ln, Marquette, MI 49855-9544 | 5702179907 | GEISINGER CLINIC |
| 103 Medicine Way Rd, Peridot, AZ 85542-0787 | 9284751200 | SAN CARLOS APACHE HEALTHCARE CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | PALM DESERT RADIOLOGY MEDICAL GROUP INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer S Gutierrez | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 3137 Stonewood Dr, Virginia Beach, VA 23456-1563 |
| Cynthia L Tortorelli | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 6777 Sw Alden St, Portland, OR 97223-1328 |
| Barbara M Mccorvey | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 4 Sedgewick Ct, San Antonio, TX 78257-1713 |
| Bayani Velasco Evangelista | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 45280 Steeley Dr, Suite 100a, La Quinta, CA 92253-6834 |
| Dinesh N Patel | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Mehran K Elly | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| David B Hertsgaard | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Scott Atkins | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Josephine T Nguyen | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Muffadal A Taher | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Street Address |
581 LAKEWOOD LN |
| City | MARQUETTE |
| State | MI |
| Zip | 49855-9544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S Jones | Psychologist, Clinical | 1300 W Ridge St, Suite 2, Marquette, MI 49855-2142 | |
| Brian John Kulbieda | Chiropractic | 1300 W Ridge St, Suite 1, Marquette, MI 49855-2142 | |
| Mark W Olson | Family Medicine | Superior Walk-in Center, PC | 2382 Us Hwy 41 W, Marquette, MI 49855-2456 |
| Kellie E Shipkey | Nurse Practitioner | Superior Walk-in Center, PC | 2382 Us Hwy 41 W, Marquette, MI 49855-2456 |
| Kurt R Olson | Family Medicine | Superior Walk-in Center, PC | 2382 Us Hwy 41 W, Marquette, MI 49855-2456 |
| Kristen Ann Deprey | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Kristin Diane Wodzinski Andreae | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Kyle M Aho | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Lisa M Labar | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Anna Tippen Howes | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Find all physicians in zip 49855 | |||
| City | MARQUETTE |
| Zip Code | 49855 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MARQUETTE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Charles S Henry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.