DR. MARIETTA MAE HENRY (NPI# 1699044347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699044347 |
Entity Type | Individual |
Full Name | DR. MARIETTA MAE HENRY |
Credential | MD |
Practice Address |
8211 Scicor Dr Indianapolis IN 46214-2942 |
Practice Telephone | 3172737934 |
Practice Fax Number | 3172737990 |
Mailing Telephone | 3172737934 |
Mailing Fax Number | 3172737990 |
Enumeration Date | 2011-12-27 |
Last Update Date | 2011-12-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744R1102X |
Specialist Specialization: Research Study |
01021501A | IN | Other Service Providers |
Street Address |
8211 SCICOR DR |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46214-2942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720616469 | Covance Central Laboratory Services, Inc | Clinical Medical Laboratory | 8211 Scicor Dr, Indianapolis, IN 46214-2942 | 2020-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982882098 | Tri-state Surgical Services, LLC | Clinic/Center | 8206 Rockville Rd, Suite 132, Indianapolis, IN 46214 | 2008-01-31 |
1154508075 | Joe Edward Banks | Family Medicine | 900 N High School Rd, Indianapolis, IN 46214 | 2008-01-22 |
1003948365 | Catrissa R Hilson | Social Worker | 6804 Idlewood Trail, #602, Indianapolis, IN 46214 | 2007-03-12 |
1811025224 | Help At Home, Inc | Nursing Care | 650 North Girl School Road, Suite C35, Indianapolis, IN 46214 | 2007-02-28 |
1942358007 | Daniel Gomes | Dentist | 8235 Country Village Dr, Indianapolis, IN 46214 | 2007-01-08 |
1871658070 | Kurt Robert Gossweiler | Dentist | 7901 Crawfordsville Rd, Ste E, Indianapolis, IN 46214 | 2006-12-27 |
1649380452 | Rockville Road Dentistry | Dentist | 6355 Rockville Road, Indianapolis, IN 46214 | 2006-08-30 |
1326035718 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 3017 Valley Farms Rd, Indianapolis, IN 46214 | 2005-09-30 |
1104341403 | Jacob Ready | Pharmacist | 7235 W 10th St, Indianapolis, IN 46214 | 2017-08-08 |
1821397779 | Avon Physical Medicine Inc | Physical Medicine & Rehabilitation | 8258 Rockville Rd, Indianapolis, IN 46214 | 2011-03-17 |
Find all providers in zip 46214 |
Taxonomy Code | 1744R1102X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Research Study |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205987278 | Indianapolis Operating Company, LLC | Specialist | 9140 N. Meridian Street, Suite 330, Indianapolis, IN 46260 | 2007-01-16 |
1265457774 | Diagnostic Rheumatology and Research, PC | Specialist | 6447 S East St Ste A, Indianapolis, IN 46227-2119 | 2006-07-13 |
1225398621 | Dawes Fretzin Clinical Research Group, LLC | Specialist | 8103 Clearvista Pkwy, Suite 260, Indianapolis, IN 46256-5628 | 2012-05-21 |
1609002914 | Jared Ferguson | Specialist | 1481 W 10th St # 11h, Indianapolis, IN 46202-2803 | 2009-06-02 |
1588813653 | Katherine Ann Carlson | Specialist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588037816 | Stephen F. Badylak | Specialist | 1150 Kingswood Rd S, West Lafayette, IN 47906-4671 | 2015-11-09 |
City | INDIANAPOLIS |
Zip Code | 46214 |
Please comment or provide details below to improve the information on DR. MARIETTA MAE HENRY.
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.