DAVID P HENRIE (NPI# 1427016815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427016815 |
| Entity Type | Individual |
| Full Name | DAVID P HENRIE |
| Credential | MD |
| Practice Address |
130 White Sage Ave #b Delta UT 84624-8928 |
| Mailing Address |
130 South White Sage Ave #b Po Box 849 Delta UT 84624 |
| Practice Telephone | 4358642708 |
| Practice Fax Number | 4358642855 |
| Mailing Telephone | 4358642708 |
| Mailing Fax Number | 4358642855 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 71-152927-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | LICENSE NUMBER | 71-152927-1205 | 01 |
| UT | DEA | AH4648513 | 01 |
| UT | ALTIUS | QM0000074619 | 01 |
| UT | SELECT HEALTH PLANS | 107006689101 | 01 |
| Street Address |
130 WHITE SAGE AVE #B |
| City | DELTA |
| State | UT |
| Zip Code | 84624-8928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023456589 | Ihc Health Services Inc | Family Medicine | 130 White Sage Ave, Delta, UT 84624-8928 | 2013-06-06 |
| 1518226091 | Joshua Arjaan Dekker | Family Medicine | 130 White Sage Ave, Delta, UT 84624-8928 | 2012-05-03 |
| 1720309578 | Rhett Foster Crapo | Family Medicine | 130 White Sage Ave, Delta, UT 84624-8928 | 2010-06-16 |
| 1477689016 | Mitchel Scott Anderson | Occupational Therapist | 130 White Sage Ave, Suite C, Delta, UT 84624-8928 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736586 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 94 North 400 East, Delta, UT 84624 | 2016-08-31 |
| 1144656323 | Scott C Stucki | Dentist | 372 West Main, Delta, UT 84624 | 2013-09-19 |
| 1316208853 | Janeann Draper | Assisted Living Facility | 234 Main St., Delta, VT 84624 | 2012-05-31 |
| 1124215579 | Shauna Nelson | Registered Nurse | 428 East Topaz Blvd #d, Delta, UT 84624 | 2007-10-01 |
| 1356461636 | Marlow Plumb | Counselor | 51 N Center, Delta, UT 84624 | 2007-03-30 |
| 1649356874 | Thomas Earl Chandler | Dentist | 262 North 350 East, Delta, UT 84624 | 2006-10-31 |
| 1639185424 | Central Utah Counseling Center | Counselor | 51 North Center Street, Delta, UT 84624 | 2006-07-31 |
| 1790752590 | Brian Lydell Coles | Specialist/Technologist | 850 Brushwellman Rd, Oak City, UT 84624 | 2006-03-01 |
| 1942671086 | Canyon View Medical Group LLC | Orthopaedic Surgery | 95 White Sage Ave, Suite C, Delta, UT 84624 | 2015-10-15 |
| 1336576560 | Mathew Ray Coddington | Nurse Anesthetist, Certified Registered | 126 White Sage Ave, Delta, UT 84624 | 2013-10-02 |
| Find all providers in zip 84624 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457541856 | John Malford Dooley | Family Medicine | 205 Chestnut St, Delta, PA 17314-8114 | 2007-07-31 |
| 1023220787 | Serena Smith Md Fp Professional | Family Medicine | 311 Palmer Street, Delta, CO 81416 | 2007-05-04 |
| 1447392386 | Debraj Smith M.d.p.c. | Family Medicine | 2050 B South Main, Delta, CO 81416 | 2007-02-13 |
| 1427156033 | Joseph Frederick Steurnagel | Family Medicine | 101 Adrian St, Delta, OH 43515-1117 | 2006-09-20 |
| 1871530113 | Michelle P Purvis | Family Medicine | 1722 Hillcrest Dr, Delta, CO 81416-2810 | 2006-06-02 |
| 1457317703 | Samuel J Kevan | Family Medicine | 555 Meeker St, Delta, CO 81416-1920 | 2006-04-25 |
| 1891309183 | Delta County Memorial Hospital | Family Medicine | 555 Meeker St, Delta, CO 81416-1920 | 2020-09-03 |
| 1679120570 | Phillip Andrew Zappone | Family Medicine | 155 Stafford Ln, Delta, CO 81416-2229 | 2019-08-25 |
| 1053978015 | Delta County Memorial Hospital | Family Medicine | 555 Meeker St, Delta, CO 81416-1920 | 2019-05-24 |
| 1407205966 | Amber Angles | Family Medicine | 555 Meeker St, Delta, CO 81416-1920 | 2016-06-06 |
| Find all providers in DELTA | ||||
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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.