Jordan Daniel Henry (NPI# 1174031355, PAC ID# 9032471529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174031355 |
| PAC ID by PECOS | 9032471529 |
| Professional Enrollment ID | I20180321001405 |
| Full Name | Jordan Daniel Henry |
| Organization Legal Name | GENESIS HEALTH SYSTEM |
| Address |
210 W 53rd St Davenport IA 52806-2251 |
| Phone Number | 8887007842 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214841436 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140275 | GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI |
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| Address | Phone | Organization |
|---|---|---|
| 210 W 53rd St, Davenport, IA 52806-2251 | 8887007842 | GENESIS HEALTH SYSTEM |
| 210 W 53rd St, Genesis Health Group, Davenport, IA 52806-2251 | 8887007842 | GENESIS HEALTH SYSTEM |
| 3200 W Kimberly Rd, Davenport, IA 52806-3059 | 5634210100 | GENESIS HEALTH SYSTEM |
| 3200 W Kimberly Rd, Genesis Psychology Associates, Davenport, IA 52806-3059 | 5634210100 | GENESIS HEALTH SYSTEM |
| Organization Legal Name | GENESIS HEALTH SYSTEM |
| Physicians | 298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April R Lanning | Family Medicine | Genesis Health System | 2140 53rd Ave, Bettendorf, IA 52722-6279 |
| Andrea L Lingenfelter | Nurse Practitioner | Genesis Health System | 1351 W Central Park, Davenport, IA 52804-1889 |
| Daniel L Larson | Psychologist, Clinical | Genesis Health System | 4455 E 56th St, Genesis Psychology Associates, Davenport, IA 52807-2995 |
| Kathleen B Vickroy | Nurse Practitioner | Genesis Health System | 200 S Cody Rd, Genesis Health Group, Leclaire, IA 52753-9579 |
| Jennifer J Hook | Nurse Practitioner | Genesis Health System | 202 Picard St, Alpha, IL 61413-5023 |
| Elliot M Galey | Family Medicine | Genesis Health System | 221 Main Ave, Clinton, IA 52732-2241 |
| Reena Kunreddy | Internal Medicine | Genesis Health System | 3900 28th Ave Dr, Suite 200, Moline, IL 61265 |
| Babuji R Gandra | Psychiatry | Genesis Health System | 1401 W Central Park, Genesis Health Group, Davenport, IA 52804-1707 |
| Clare B Harney | Obstetrics/gynecology | Genesis Health System | 1510 E Rusholme St, Davenport, IA 52803-2463 |
| Kerry B Miller | Nurse Practitioner | Genesis Health System | 1345 W Central Park, Genesis Health Group, Davenport, IA 52804-1844 |
| Street Address |
210 W 53RD ST |
| City | DAVENPORT |
| State | IA |
| Zip | 52806-2251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah S Haas | Nurse Practitioner | Genesis Health System | 210 W 53rd St, Davenport, IA 52806-2251 |
| James A Darrow | Family Medicine | Genesis Health System | 210 W 53rd St, Davenport, IA 52806-2251 |
| Bryant A Mutchler | Family Medicine | Genesis Health System | 210 W 53rd St, Davenport, IA 52806-2251 |
| Danita K Harrison | Nurse Practitioner | Genesis Health System | 210 W 53rd St, Davenport, IA 52806-2251 |
| Christel L Seemann | Family Medicine | Genesis Health System | 210 W 53rd St, Davenport, IA 52806-2251 |
| Christopher M Crome | Family Medicine | Genesis Health System | 210 W 53rd St, Davenport, IA 52806-2251 |
| Brittney Nicole Hughes | Nurse Practitioner | Genesis Health System | 210 W 53rd St, Davenport, IA 52806-2251 |
| Catherine L Schierbrock | Family Medicine | Genesis Health System | 210 W 53rd St, Davenport, IA 52806-2251 |
| Leanne M Binion | Nurse Practitioner | Genesis Health System | 210 W 53rd St, Davenport, IA 52806-2251 |
| Nicholas D Crippin | Family Medicine | Genesis Health System | 210 W 53rd St, Davenport, IA 52806-2251 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Housewright | Physical Therapy | Ora Orthopedics PC | 6101 Northwest Blvd, Davenport, IA 52806-1861 |
| Carrie Crowe | Physical Therapy | Ora Orthopedics PC | 6101 Northwest Blvd, Davenport, IA 52806-1861 |
| Meghan Buchanan | Physical Therapy | Ora Orthopedics PC | 6101 Northwest Blvd, Davenport, IA 52806-1861 |
| Mackenzie J Banwart | Physical Therapy | Ora Orthopedics PC | 6101 Northwest Blvd, Davenport, IA 52806-1861 |
| Mallory Moore | Physical Therapy | Ora Orthopedics PC | 6101 Northwest Blvd, Davenport, IA 52806-1861 |
| Michelle M Mcmurray | Occupational Therapy | Ora Orthopedics PC | 6101 Northwest Blvd, Davenport, IA 52806-1861 |
| Andrew R. Hovey | Physical Therapy | Ora Orthopedics PC | 6101 Northwest Blvd, Davenport, IA 52806-1861 |
| Christen M Behm | Occupational Therapy | Ora Orthopedics PC | 6101 Northwest Blvd, Davenport, IA 52806-1861 |
| Megan Kraciun | Physical Therapy | Ora Orthopedics PC | 6101 Northwest Blvd, Davenport, IA 52806-1861 |
| Christopher D Murphy | Physical Therapy | Ora Orthopedics PC | 6101 Northwest Blvd, Davenport, IA 52806-1861 |
| Find all physicians in zip 52806 | |||
| City | DAVENPORT |
| Zip Code | 52806 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DAVENPORT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jordan Daniel 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.