MR. JOHN BURTON HENLEY II


Address: 1500 Debarr Rd, Vamroc Outpatient Clinic, Anchorage, AK 99514-3707
Phone: 9072574950

MR. JOHN BURTON HENLEY II (NPI# 1952497547) 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) 1952497547
Entity Type Individual
Full Name MR. JOHN BURTON HENLEY II
Credential MS, PA-C
Practice Address 1500 Debarr Rd
Vamroc Outpatient Clinic
Anchorage
AK 99514-3707
Mailing Address 300 Jerome Drive
Wasilla
AK 99654
Practice Telephone 9072574950
Practice Fax Number 9072576784
Mailing Telephone 9073766493
Enumeration Date 2006-10-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
44 AK Physician Assistants & Advanced Practice Nursing Providers

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1760449466 John Henley Pathology 231 Albert Sabin Way, Department of Pathology, Cincinnati, OH 45267-0001 2006-04-27
1427014059 John Henley Jr. Otolaryngology 1839 Quiet Cove, Fayetteville, NC 28304-3857 2006-04-22

Office Location

Street Address 1500 DEBARR RD
VAMROC OUTPATIENT CLINIC
City ANCHORAGE
State AK
Zip Code 99514-3707

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1306446182 Anna Marie Luiken Counselor 1009 Fred Cir, Anchorage, AK 99515-2654 2020-10-29
1730789660 Andrew Phillip Dearborn Chiropractor 3310 Bering St Apt 401, Anchorage, AK 99503-4674 2020-10-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972980639 Jesika Harrell Physician Assistant 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 2015-05-01
1770977571 Audrey Christine Kelley Physician Assistant 9150 Jewel Lake Rd # B, Anchorage, AK 99502-5381 2015-03-19
1851799027 Jennifer Anne Fayette Physician Assistant 2741 Debarr Rd Ste C302, Anchorage, AK 99508-2972 2014-12-19
1053667956 Heather Cherie Pollard Physician Assistant 4000 Ambassador Drive, Chap Training, Anchorage, AK 99508 2012-07-28
1033447909 Gregory Scott Hackenbruch Physician Assistant 2741 Debarr Road, Suite 307, Anchorage, AK 99508 2009-12-03
1265553481 Joanie Randle Physician Assistant 3330 Arctic Blvd, Anchorage, AK 99503-4523 2007-04-03
1568587517 William D Crabtree Sr. Physician Assistant 6436 Southpointe Ridge Dr, Anchorage, AK 99516-6219 2007-03-20
1245315779 Carl Lester Brown Jr. Physician Assistant 300 West Dimond Blvd., Suite 12, Anchorage, AK 99515 2006-10-25
1700990371 Clayton E Langland Physician Assistant 9525 King St., Medical Department - Lipinski, Anchorage, AK 99515-0000 2006-08-19
1215983499 David Mark Decker Physician Assistant 700 G St, Conocophillips Tower Kuparuk Medical Nsk 31, Anchorage, AK 99501 2006-05-26
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Competitor

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City ANCHORAGE
Zip Code 99514

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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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