DR. ANJALI S. HENRY (NPI# 1326204686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326204686 |
| Entity Type | Individual |
| Full Name | DR. ANJALI S. HENRY |
| Credential | M.D. |
| Practice Address |
418 North Shore Drive Clear Lake IA 50428 |
| Practice Telephone | 6413577442 |
| Mailing Telephone | 6413577442 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 40490 | IA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 125.053067 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
418 NORTH SHORE DRIVE |
| City | CLEAR LAKE |
| State | IA |
| Zip Code | 50428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1780228270 | Laura Lee Wilcke | Behavioral Analyst | 1020 Buddy Holly Place, Clear Lake, IA 50428 | 2019-10-29 |
| 1578120978 | Jon Secory | Pharmacist | 20 S. 4th St, Clear Lake, IA 50428 | 2019-05-22 |
| 1285109207 | Julie Livingston | Registered Nurse | Thrifty White Drug, 1907 Us Highway 18 East, Clear Lake, IA 50428 | 2018-10-05 |
| 1720580277 | Kelly Nieman | Nurse Practitioner | 1410 6th Ave South, Clear Lake, IA 50428 | 2018-03-01 |
| 1427439892 | Christopher Fischer | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428 | 2015-06-11 |
| 1609114958 | Hasco Inc. | Pharmacy | 8 North 4th St, Clear Lake, IA 50428 | 2013-01-22 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1750433413 | Todd Darwin Hocraffer | Chiropractor | 1524 W Highway 18, Clear Lake, IA 50428 | 2007-01-16 |
| Find all providers in zip 50428 | ||||
| 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 |
|---|---|---|---|---|
| 1730297557 | Norma C Mcguire | Pediatrics | 418 N Shore Dr, Clear Lake, IA 50428-1378 | 2006-08-29 |
| 1710415005 | Kristin Avery | Pediatrics | 401 S 15th St, Clear Lake, IA 50428-2303 | 2017-05-31 |
| 1770849333 | Tate Allen Lage | Pediatrics | 401 S 15th St, Clear Lake, IA 50428-2303 | 2012-04-09 |
| 1821210311 | Suresh K Rajagopal | Pediatrics | 418 N Shore Dr, Clear Lake, IA 50428-1378 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918641 | Emily Freeman | Pediatrics | 1305 Antler Dr, North Liberty, IA 52317-2315 | 2020-09-26 |
| 1336762947 | Keegan Kavanaugh | Pediatrics | 200 Hawkins Dr # Bt201526, Iowa City, IA 52242-1009 | 2020-05-19 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1487212452 | Kacie Cornelius Rytlewski | Pediatrics | 200 Hawkins Dr Ste Jcp, Iowa City, IA 52242-1009 | 2019-06-04 |
| 1356908909 | Shelby Noel Mestnik | Pediatrics | 200 Hawkins Dr Dept, Iowa City, IA 52242-1009 | 2019-05-20 |
| 1659841864 | Collins Wellness Center, LLC | Pediatrics | 642 10th St Ste 102, Marion, IA 52302-3446 | 2018-11-30 |
| 1780176305 | Jorie Muraida | Pediatrics | 1200 Pleasant St # 566, Des Moines, IA 50309-1453 | 2018-05-30 |
| 1679927768 | Megan Meis | Pediatrics | 1000 Lincoln Circle, Orange City, IA 51041-1836 | 2016-04-15 |
| 1164801668 | Brenda Cruikshank | Pediatrics | 2105 Glendale Rd, Iowa City, IA 52245-3221 | 2015-05-29 |
| 1972907426 | Rhanda Darville | Pediatrics | 200 Hawkins Dr # Bt1120, Iowa City, IA 52242-1009 | 2014-10-13 |
| Find all providers with the same taxonomy | ||||
| City | CLEAR LAKE |
| Zip Code | 50428 |
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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.