SUSAN K HENRY (NPI# 1447311071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447311071 |
| Entity Type | Individual |
| Full Name | SUSAN K HENRY |
| Credential | MD |
| Practice Address |
1 Childrens Plz Dayton OH 45404-1873 |
| Practice Telephone | 9376413000 |
| Mailing Telephone | 9376413000 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
35055949 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BCBS ANTHEM | 000000008940 | 01 |
| OH | 0683934 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3333 W Tech Rd, Miamisburg, OH 453420955 | 9376413000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730642935 | Susan Lipman Henry | Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | 2019-04-13 |
| 1073935946 | Susan Henry | Social Worker | 7022 Emerson St, Morton Grove, IL 60053-1205 | 2014-01-13 |
| 1376985499 | Susan Henry | Occupational Therapist | 7 Independence Way Apt 403, Franklin, MA 02038-7312 | 2013-07-18 |
| 1609043413 | Susan Lynn Henry | Speech-Language Pathologist | 9212 Oswald Way, Apt. 2d, Baltimore, MD 21237-4464 | 2008-05-12 |
| 1114315769 | Susan Henry | Physical Therapist | 126 N San Gabriel Blvd, San Gabriel, CA 91775-2427 | 2015-01-06 |
| 1013313485 | Susan Jean Henry | Case Manager/Care Coordinator | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-13 |
| 1477795755 | Susan Henry | Nurse Practitioner | 9834 Genesee Ave, Suite Number: 400, La Jolla, CA 92037-1223 | 2009-04-01 |
| 1699930149 | Susan Henry | Massage Therapist | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2008-07-24 |
| 1174706089 | Susan D. Henry | Social Worker | 10810 Executive Center Dr, Suite 303, Little Rock, AR 72211-4354 | 2007-12-13 |
| 1477686889 | Susan Henry | Marriage & Family Therapist | 4710 Champions Trace Ln, 107, Louisville, KY 40218-3495 | 2007-03-14 |
| Street Address |
1 CHILDRENS PLZ |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1346840782 | Lillian Delatore | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-10-26 |
| 1760081434 | Jennifer P Slye | Counselor | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-10-22 |
| 1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
| 1851917744 | Kylie Lynn Yike | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-06-17 |
| 1750901211 | Mitchell Alexander Mcclellan | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-24 |
| 1902426935 | Preston Keiffer | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-04-20 |
| 1336768829 | Emily Dippold | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-14 |
| 1811516875 | Courtney Ann Pierron | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-10 |
| 1790304905 | Kate Redding Boroff | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| 1205360831 | Chiara Foster | Student in an Organized Health Care Education/Training Program | 1 Childrens Plaza, Dayton, OH 45404 | 2017-04-20 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205997848 | John B Badcock | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1033270616 | Mary J Erickson | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1083776637 | Mark S Schaffer | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1558422162 | Daniel A Evans | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-12-13 |
| 1881755403 | Russell H Hackett | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1114089752 | Pinchas M Ovide | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1891857421 | William M Matre | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1700947314 | Dale G Evans | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-12-13 |
| 1043371693 | Raul Chabali | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1770641821 | Dana L Drazner | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-12-04 |
| Find all providers in DAYTON | ||||
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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.