Robert Henry (NPI# 1740240308, PAC ID# 4981746963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1740240308 |
| PAC ID by PECOS | 4981746963 |
| Professional Enrollment ID | I20160407000624 |
| Full Name | Robert Henry |
| Organization Legal Name | DIVINE SAVIOR HEALTHCARE INC |
| Address |
N4390 Crossroads Clinic Rd Oxford WI 53952-9465 |
| Phone Number | 6085895333 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5799684007 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520041 | DIVINE SAVIOR HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| N4390 Crossroads Clinic Rd, Oxford, WI 53952-9465 | 6085895333 | DIVINE SAVIOR HEALTHCARE INC |
| Organization Legal Name | DIVINE SAVIOR HEALTHCARE INC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Benton Padley | Nurse Practitioner | Divine Savior Healthcare Inc | N4390 Crossroads Clinic Rd, Oxford, WI 53952-9465 |
| Jeanne A. M. Rush | Physician Assistant | Divine Savior Healthcare Inc | 102 Gillette St, Pardeeville, WI 53954-9317 |
| Kelly R Toijala | Physician Assistant | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Michael C Walters | Emergency Medicine | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Kari J Heyn | Certified Registered Nurse Anesthetist (crna) | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Kelly M Beier | Physician Assistant | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Matthew G Rajala | Physician Assistant | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Stephen Murphy | Podiatry | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Joe R Peterson | Physician Assistant | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Melissa Shannon Faubert | Family Medicine | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Street Address |
N4390 CROSSROADS CLINIC RD |
| City | OXFORD |
| State | WI |
| Zip | 53952-9465 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Benton Padley | Nurse Practitioner | Divine Savior Healthcare Inc | N4390 Crossroads Clinic Rd, Oxford, WI 53952-9465 |
| Lori A Schumann | Physical Therapy | Divine Savior Healthcare Inc | N4390 Crossroads Clinic Rd, Oxford, WI 53952-9465 |
| City | OXFORD |
| Zip Code | 53952 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | OXFORD + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Robert Henry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.