Dwayne Douglas Henry (NPI# 1952359077, PAC ID# 9830128453) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1952359077 |
| PAC ID by PECOS | 9830128453 |
| Professional Enrollment ID | I20120514000279 |
| Full Name | Dwayne Douglas Henry |
| Organization Legal Name | RUSH HOSPITAL/BUTLER,INC |
| Address |
401 Vanity Fair Ave Butler AL 36904-3032 |
| Phone Number | 2054599100 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2002 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE, NEPHROLOGY |
| Group Practice PAC ID | 0244498368 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 011304 | CHOCTAW GENERAL HOSPITAL |
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC | |
| 401 Vanity Fair Ave, Butler, AL 36904-3032 | 2054599100 | RUSH HOSPITAL/BUTLER,INC |
| Organization Legal Name | RUSH HOSPITAL/BUTLER,INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vernadette Horn | Nurse Practitioner | Rush Hospital/butler,inc | 1404 E Pushmataha St, Butler, AL 36904-2728 |
| Steven Sharp | Family Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Alaina M Payne | Family Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Elizabeth Owings | General Practice | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Daniel L Armistead | Family Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Leanne L Tew | Nurse Practitioner | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Victoria L Beckman | Internal Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Scott A Sabo | Emergency Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Richard C Snouffer | Emergency Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Lex D Mahler | Family Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Street Address |
401 VANITY FAIR AVE |
| City | BUTLER |
| State | AL |
| Zip | 36904-3032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Sharp | Family Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Alaina M Payne | Family Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Elizabeth Owings | General Practice | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Daniel L Armistead | Family Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Leanne L Tew | Nurse Practitioner | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Victoria L Beckman | Internal Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Scott A Sabo | Emergency Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Richard C Snouffer | Emergency Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Lex D Mahler | Family Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Katherine A Hensleigh | Family Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis K Guinn | Family Medicine | 315 E Pushmataha St, Butler, AL 36904-2533 | |
| Vernadette Horn | Nurse Practitioner | Rush Hospital/butler,inc | 1404 E Pushmataha St, Butler, AL 36904-2728 |
| Stephanie G Ommen | Optometry | 504 S Mulberry Ave, Butler, AL 36904-2804 | |
| Vernon D Horst | Emergency Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Tony L Weaver | General Surgery | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Martin E Truett | Emergency Medicine | Rush Hospital/butler,inc | 401 Vanity Fair Ave, Butler, AL 36904-3032 |
| Brenda L Kennedy | Physical Therapy | 1951 Riderwood Dr, Butler, AL 36904-3564 |
| City | BUTLER |
| Zip Code | 36904 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BUTLER + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Dwayne Douglas 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.