Michael Henry, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P7461 Issued in TX

Practice address

2001 N Jefferson Ave
Suite 300
Mount Pleasant, TX 75455-2338

Phone

(903) 572-9823

Fax

(903) 572-4812

NPI assigned

May 4, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• The Pediatric Clinic, P.a.

  • Rural Health Clinic/Center
  • Mount Pleasant, TX
  • NPI 1437984259

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Pediatric Clinic, P.a.

  • Pediatrics Physician
  • Mount Pleasant, TX
  • NPI 1821085721
  Medicare reassignment NPD Authorized official
• The Pediatric Clinic, P.a.

  • Rural Health Clinic/Center
  • Mount Pleasant, TX
  • NPI 1437984259
  NPD
• Northeast Texas Pediatrics, PLLC

  • Pediatrics Physician
  • Mount Pleasant, TX
  • NPI 1215362710
  NPD (past)
• Titus County Hospital District

  • General Acute Care Hospital
  • Mt Pleasant, TX
  • NPI 1174526529
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1174841902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "SUITE 300",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-572-9823",
            "fax_number": "903-572-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "SUITE 300",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-572-9823",
            "fax_number": "903-572-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P7461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329464701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayes Creek Emergency Physicians
• Joseph D. Hayes, M.S.,L.P.C.,N.C.C.
• Health on Wheels
• Healthcare Express, LLP
• Healthcare Express, LLP
• Ronda Lynnette Henry
• Herbert L. Watkins, MD PA
• Thelma Hernandez, M.D.
• David A Hester, M.D.
• Roshanda D Hill, LVN

• Pediatrics Physician in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.