Mary Jo Henry (NPI# 1780663005, PAC ID# 5092769661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780663005 |
| PAC ID by PECOS | 5092769661 |
| Professional Enrollment ID | I20050307000278 |
| Full Name | Mary Jo Henry |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
855 A Ave Ne Cedar Rapids IA 52402-5064 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160045 | ST LUKES HOSPITAL |
| 161306 | JONES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4480 Utica Ridge Rd, Suite 160, Bettendorf, IA 52722-1637 | 5637425950 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION | |
| 855 A Ave Ne, Cedar Rapids, IA 52402-5064 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Physicians | 930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
| Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
| Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
| Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
| Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
| Street Address |
855 A AVE NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip | 52402-5064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Owen M Mccarron | Obstetrics/gynecology | Ob-gyn Associates PC | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 |
| Claire Ida A Cundiff | Obstetrics/gynecology | Ob-gyn Associates PC | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 |
| Ashley A Degeeter | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 855 A Ave Ne, Cedar Rapids, IA 52402-5064 |
| Molly J Franke | Physician Assistant | Forefront Dermatology Sc | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 |
| Joy L Olson | Obstetrics/gynecology | Ob-gyn Associates PC | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 |
| Debra J Piehl | Obstetrics/gynecology | Ob-gyn Associates PC | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 |
| Sunny H Zhang | Obstetrics/gynecology | Ob-gyn Associates PC | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 |
| Allison M Boardman | Obstetrics/gynecology | Ob-gyn Associates PC | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 |
| Elizabeth M Bussewitz | Obstetrics/gynecology | Ob-gyn Associates PC | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 |
| Jerry L Rozeboom | Obstetrics/gynecology | Ob-gyn Associates PC | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan J Jenkins | Chiropractic | 1146 Blairs Ferry Rd Ne, Suite 5, Cedar Rapids, IA 52402-1274 | |
| Teresa R Stewart | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Myong J Kang | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Susan Marie Mason | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Brandy M Leclere | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 6911 C Ave Ne, Family Medicine Bowman Woods, Cedar Rapids, IA 52402-1349 |
| Therese B Molloy | Occupational Therapy | 6915 Wilton Ct Ne, Cedar Rapids, IA 52402-1448 | |
| Dennis J Bradley | Chiropractic | 214 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1602 | |
| Chris Allan Smith | Chiropractic | 214 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1602 | |
| Amanda Osullivan | Chiropractic | 214 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1602 | |
| Nathan T Broghammer | Chiropractic | 214 Blairs Ferry Rd Ne, 2 Chiropractic Clinic of Iowa, Cedar Rapids, IA 52402-1602 | |
| Find all physicians in zip 52402 | |||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CEDAR RAPIDS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Jo 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.