STEPHEN DOUGLAS HENRY


Address: 2319 E Washington Blvd, Suite 2, Pasadena, CA 91104-1945
Phone: 6267978800

STEPHEN DOUGLAS HENRY (NPI# 1811925183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811925183
Entity Type Individual
Full Name STEPHEN DOUGLAS HENRY
Credential M.D.
Practice Address 2319 E Washington Blvd
Suite 2
Pasadena
CA 91104-1945
Practice Telephone 6267978800
Practice Fax Number 6267978575
Mailing Telephone 6267978800
Mailing Fax Number 6267978079
Enumeration Date 2006-06-28
Last Update Date 2011-05-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
C37981 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FEDERAL TAX ID 953652123 01
CA STATE LICENSE C37981 01

Other Providers STEPHEN HENRY

NPI Name Taxonomy Address Enumeration
1740497395 Stephen P. Henry Dentist 15525 Pomerado Rd Ste C4, Poway, CA 92064-2426 2007-05-16
1851455117 Stephen M Henry Dentist 4615 Philips Hwy Ste 3, Jacksonville, FL 32207-9506 2006-12-21
1942379599 Stephen Craig Henry Chiropractor 412 Mountain Drive, Dr Stephen C Henry Henry Chiropractic Clinic, Destin, FL 32541-2334 2006-11-07
1104915768 Stephen Conway Henry Urology 316 Madrone Ave, Pescadero, CA 94060-0795 2006-10-12
1801985213 Stephen R Henry Dentist 1098 Foster City Blvd Ste 101, Foster City, CA 94404-2302 2006-10-12
1326646993 Stephen Anthony Henry Licensed Practical Nurse 65 South St, Marlboro, NY 12542-6316 2020-10-15
1992187447 Stephen Henry Physical Therapist 10220 River Rd, #2, Potomac, MD 20854-4916 2015-06-22
1679905707 Stephen Noel Henry Family Medicine 13707 Sw 152nd St, Miami, FL 33177-1106 2013-07-31
1891073615 Stephen Craig Henry II Chiropractor 821 Debary Ave, Deltona, FL 32725-8805 2011-07-27
1619157666 Stephen Howard Henry Pharmacist 4102 Pinion Dr, 10th Medical Group, Usaf Academy, CO 80840-2502 2007-11-07

Office Location

Street Address 2319 E WASHINGTON BLVD
SUITE 2
City PASADENA
State CA
Zip Code 91104-1945

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710925144 William D Mcintyre, Jr. Internal Medicine 2319 E Washington Blvd, Suite One, Pasadena, CA 91104-1945 2006-06-04
1245526029 Canyon Vista Healthcare Medical Corporation Clinic/Center 2319 E Washington Blvd, Suite One, Pasadena, CA 91104-1945 2011-06-21
1427371731 Jimmy Eagle Arms Jr. Physician Assistant 2319 E Washington Blvd, Suite #2, Pasadena, CA 91104-1945 2010-03-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093284382 Jack Lee Johnson II Counselor 1680 North Fair Oaks, Pasadena, CA 91104 2018-11-16
1699257055 Aqueelah Russell Lactation Consultant, Non-RN 855 N. Catalina Ave, Pasadena, CA 91104 2018-09-02
1053893529 Jordann Ashley Stewart Case Manager/Care Coordinator 691 East Washington Blvd, Pasadena, CA 91104 2018-08-31
1942789706 Elmer Caballero Case Manager/Care Coordinator 691 E Washington Blvd, Pasadena, CA 91104 2018-08-12
1649759648 Orlando Javier Sava Jr. Case Manager/Care Coordinator 1395 E. Orange Grove Blvd, Pasadena, CA 91104 2018-08-09
1669923611 Grandview Foundation, Inc. Substance Abuse Rehabilitation Facility 225 Grandview Street, Pasadena, CA 91104 2016-10-14
1255734166 Linhua Wang-kim Massage Therapist 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 2014-10-06
1477893782 Med Tec Diagnostic Inc. Clinic/Center 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 2013-02-22
1750631321 Gordon Sheldall Marriage & Family Therapist 1495 N Lake Avenue, Pasadena, CA 91104 2012-09-11
1699024521 Sherry Lynn Wait Marriage & Family Therapist 1495 N. Lake Ave., Pasadena, CA 91104 2012-09-06
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1366516478 Steven P Doan Internal Medicine 625 S Fair Oaks Ave Ste 245, Pasadena, CA 91105-2665 2006-11-20
1023539012 Arbis Rojas Md Inc Internal Medicine 950 S Arroyo Pkwy Fl 3, Pasadena, CA 91105 2017-06-29
1235460510 Arbis Rojas Internal Medicine 950 S Arroyo Pkwy Fl 3, Pasadena, CA 91105 2010-01-26
1184696999 Norman T Chien Internal Medicine 625 S Fair Oaks Ave, Suite 245, Pasadena, CA 91105-2665 2006-02-06

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1821587585 Aost Healthcare Services Internal Medicine 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 2018-05-08
1396233185 Caroline Petrossian Internal Medicine 1880 Century Park East Suite 711, Century City, CA 90067 2018-04-26
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Competitor

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City PASADENA
Zip Code 91104

Improve Information

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Dataset Information

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.

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