JOHN C. HENRY, M.D., P.A. (NPI# 1881845170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881845170 |
| Entity Type | Organization |
| Organization Name | JOHN C. HENRY, M.D., P.A. |
| Practice Address |
207 N Union Ave Suite C Roswell NM 88201-3068 |
| Practice Telephone | 5756242330 |
| Practice Fax Number | 5756229133 |
| Mailing Telephone | 5756242330 |
| Mailing Fax Number | 5756229133 |
| Enumeration Date | 2008-10-05 |
| Last Update Date | 2008-10-05 |
| Authorized Official Name | MRS. GLENDA F HENRY (OFFICE MANAGER) |
| Authorized Official Telephone | 5756242330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 83-218 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 25239 | 05 |
| Street Address |
207 N UNION AVE SUITE C |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-3068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752370 | Crossroads Counseling, Inc. | Social Worker | 207 N Union Ave, Suite G, Roswell, NM 88201-3068 | 2005-10-05 |
| 1518351790 | Roswell Oral & Facial Surgery, LLC | Dentist | 207 N Union Ave, Ste E, Roswell, NM 88201-3068 | 2015-03-25 |
| 1144408493 | Gordon Moore | Dentist | 207 N Union Ave, Suite A, Roswell, NM 88201-3068 | 2008-02-07 |
| 1154459006 | Pro-optical Express Ltd. | Technician/Technologist | 207 N Union Ave, Roswell, NM 88201-3068 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003479254 | Kiley Katherine Fagan | Dermatology | 775 Aronson Lake Ct, Roswell, GA 30075-7172 | 2019-04-15 |
| 1194209163 | Live Oak Dermatology | Dermatology | 135 Norcross St # 8, Roswell, GA 30075-3867 | 2018-09-17 |
| 1346503810 | Shaanan Satish Shetty | Dermatology | 1265 Upper Hembree Rd Ste 100, Roswell, GA 30076-1258 | 2012-06-20 |
| 1407075880 | Marcus Brian Goodman | Dermatology | 2500 Hospital Blvd Ste 280, Roswell, GA 30076-4918 | 2007-04-24 |
| 1568556017 | John C Henry | Dermatology | 207 N. Union, Suite C, Roswell, NM 88201 | 2006-10-02 |
| 1285730952 | Jack L Graham, Md, PC | Dermatology | 1600 Se Main St Ste E, Roswell, NM 88203-5423 | 2006-09-16 |
| 1902842214 | Harry R. Mccarthy Jr. | Dermatology | 600 Currin Ct, Roswell, GA 30076-3583 | 2006-06-22 |
| 1447259577 | Kenneth Mark Ellner | Dermatology | 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 | 2005-07-20 |
| 1265927230 | Jennifer Erin Millsap | Dermatology | 415 E Crossville Rd, Roswell, GA 30075-7626 | 2018-06-22 |
| 1174916365 | Alexandria Bass Glass | Dermatology | 2500 Hospital Blvd Ste 280, Roswell, GA 30076-4918 | 2015-03-11 |
| Find all providers in ROSWELL | ||||
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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.