LEE FREDERIC HENRY (NPI# 1528036845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528036845 |
| Entity Type | Individual |
| Full Name | LEE FREDERIC HENRY |
| Credential | DO |
| Practice Address |
404 Jefferson St Pella IA 50219-1291 |
| Practice Telephone | 6416283150 |
| Practice Fax Number | 6416288901 |
| Mailing Telephone | 6416283150 |
| Mailing Fax Number | 6416288901 |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
02476 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0321455 | 05 | |
| IA | RAILROAD MEDICARE | 300036501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558643783 | Lee Culp Henry | Social Worker | 170 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4354 | 2011-09-14 |
| 1194059154 | Lee Doric Henry | Psychologist | 45 Merrimack St, 200, Lowell, MA 01852-1729 | 2009-09-23 |
| Street Address |
404 JEFFERSON ST |
| City | PELLA |
| State | IA |
| Zip Code | 50219-1291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528055282 | Deborah L Guild | Dietitian, Registered | 404 Jefferson St, Pella, IA 50219-1257 | 2005-09-28 |
| 1962017764 | Carrie Anne Kelderman | Registered Nurse | 404 Jefferson St, Pella, IA 50219-1257 | 2020-09-09 |
| 1356970248 | Catherine Elaine Pollock | Dietitian, Registered | 404 Jefferson St, Pella, IA 50219-1257 | 2020-04-03 |
| 1720555063 | Hannah Childers | Speech-Language Pathologist | 404 Jefferson St, Pella, IA 50219-1257 | 2018-10-24 |
| 1659809283 | Don Xuan Nguyen | Internal Medicine | 404 Jefferson St, Pella, IA 50219-1257 | 2017-05-26 |
| 1154709327 | Pella Regional Health Center | Clinical Medical Laboratory | 404 Jefferson St, Pella, IA 50219-1257 | 2015-05-08 |
| 1750701009 | Shannan Nicole Schoening | Anesthesiology | 404 Jefferson St, Pella, IA 50219 | 2014-04-24 |
| 1134465073 | Jana Beth Vink | Social Worker | 404 Jefferson St, Pella, IA 50219-1257 | 2012-12-21 |
| 1235440454 | Jeanette E Nieuwsma | Social Worker | 404 Jefferson St, Pella, IA 50219-1257 | 2010-06-23 |
| 1760621791 | Matthew Leo Woodham | Internal Medicine | 404 Jefferson St, Pella, IA 50219-1257 | 2009-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366967101 | Emily Rachel Dine | Specialist/Technologist | 812 University, Pella, IA 50219 | 2017-08-12 |
| 1588105597 | Brett Boddicker | Student in an Organized Health Care Education/Training Program | 812 University Street, Pella, IA 50219 | 2017-03-10 |
| 1053780098 | Jeremy Richard Dolder | Specialist/Technologist | 812 University St., Pella, IA 50219 | 2015-09-21 |
| 1588921084 | Michael Gary Walsh | Psychiatry & Neurology | 710 W 1st St, Pella, IA 50219 | 2012-04-20 |
| 1063788602 | Multicultural International Counseling Enterprises, Inc. | Psychologist | 311 Franklin Street, Pella, IA 50219 | 2012-03-28 |
| 1568798056 | Megan Lee Nelson | Physical Therapist | 405 Monroe Street, Pella, IA 50219 | 2009-10-19 |
| 1578783247 | Suzanne Vonseggern | Pharmacist | 1610 Vemeer Rd, East Plant 3, Pella, IA 50219 | 2007-04-26 |
| 1669513057 | Heather Renee Pilcher | Physical Therapy Assistant | 308 Se 9th St., Pella, IA 50219 | 2007-02-09 |
| 1164578134 | Walgreen Co. | Pharmacy | 1610 Vermeer Road East, Plant 3 1/2, Pella, IA 50219 | 2007-01-25 |
| 1841373289 | Jeffrey Frank Allen | Dentist | 839 Broadway, Pella, IA 50219 | 2006-10-21 |
| Find all providers in zip 50219 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486776 | Innovative Radiology LLC | Radiology | 13409 Douglas Pkwy, Des Moines, IA 50323-2400 | 2020-10-29 |
| 1518186980 | Michael Richard Macke | Radiology | 1948 1st Avenue Ne, Cedar Rapids, IA 52402-5321 | 2007-04-24 |
| 1376644393 | Willaim Hunter | Radiology | 1519 Spencer St, Grinnell, IA 50112-1465 | 2006-09-25 |
| 1811507312 | Adriana Goncalves Juliano | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-08-09 |
| 1174148548 | Aaron Patrick Cronican | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-11 |
| 1457973158 | Donald Zhang | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-05-15 |
| 1144873100 | Pritish Yashwantrao Aher | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-07-18 |
| 1457918419 | Jamie L Strike | Radiology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2019-05-24 |
| 1558836346 | Khalid Balawi | Radiology | 200 Hawkins Dr, Dept of Radiology, Iowa City, IA 52242-1009 | 2018-10-08 |
| 1033605423 | Nobuhiro Fujita | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-07-09 |
| 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.