MR. DAVID HENRY (NPI# 1316908999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316908999 |
| Entity Type | Individual |
| Full Name | MR. DAVID HENRY |
| Credential | PHYSICIAN'S ASSISTAN |
| Practice Address |
172 Inner Loop Weed Army Community Hospital Ft. Irwin CA 92310 |
| Mailing Address |
19727 Us Highway 18 Apple Valley CA 92307-2628 |
| Practice Telephone | 7603803027 |
| Practice Fax Number | 7603805861 |
| Mailing Telephone | 7603803027 |
| Mailing Fax Number | 7603805861 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 16742 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467893818 | David Henry | Home Health Aide | 2750 Shipley Ter Se, Washington, DC 20020-1807 | 2013-07-15 |
| 1265708515 | David Patrick Henry Sr. | Contractor | 47 Valley Estates Dr, 72212, Little Rock, AR 72212-4412 | 2012-03-30 |
| 1285861120 | David Edward Henry | Surgery | 111 Hekili St Ste A481, Kailua, HI 96734 | 2009-06-18 |
| 1235375924 | David Patterson Henry II | Internal Medicine | 73203 Burrington, Chapel Hill, NC 27517-8575 | 2008-12-30 |
| 1801838917 | David S Henry | Obstetrics & Gynecology | 1444 Coffee Road, Modesto, CA 95355 | 2006-06-12 |
| 1841804333 | David Henry | Psychologist | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-02 |
| 1609339043 | David Henry | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2019-04-11 |
| 1417429556 | David Henry | Community Health Worker | 100 N Broadway, Irvington, NY 10533-1254 | 2018-12-31 |
| 1952812265 | David Osborne Henry | Physician Assistant | 2401 Northampton St Ste 140, Easton, PA 18045-2764 | 2017-10-14 |
| 1205365764 | David Henry | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Pkwy Ste 120, Lone Tree, CO 80124-5532 | 2017-06-08 |
| Street Address |
172 INNER LOOP WEED ARMY COMMUNITY HOSPITAL |
| City | FT. IRWIN |
| State | CA |
| Zip Code | 92310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
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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.