Individual provider Active NPI

Joe B Henry Jr., MD

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1184810392
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10028374 Issued in TX
Practice address
3995 Sterlington Rd.
Monroe, LA 71203
Phone
(318) 329-9447
Fax
(318) 329-9429
NPI assigned
Sep 20, 2007
Last updated
Dec 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10028374 TX Primary
Family Medicine Physician 207Q00000X 203650 LA

Addresses

Primary practice location

3995 Sterlington Rd.
Monroe, LA 71203

Mailing address

3995 Sterlington Rd.
Monroe, LA 71203
Phone (318) 329-9447

Other identifiers 1

IdentifierTypeStateIssuer
BP10028374OtherTXBASIC PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20101203000283 LA Practitioner - Family Practice 0648467696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ouachita Medical Clinic LLCGroup PAC ID 6204289622, 8 clinicians

Practice addresses (Care Compare)

3424 Medical Park Dr
Monroe, LA 71203-2387
Phone (318) 329-9447

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions16
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203650LAMDFamily Medicine Physician
BP10028374TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita Medical Clinic LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Iasis Glenwood Regional Medical Center LP Past Accepting new patients

Locations

3424 Medical Park Dr
Monroe, LA 71203
Phone (318) 329-9447

102 Thomas Rd
Ste 104
West Monroe, LA 71291
Phone (318) 323-1559

1117 Cheniere Drew Rd
West Monroe, LA 71291
Phone (318) 329-4370

Interoperability endpoints

  • Direct secure messaging: bryon.henry@gcmc.directbygreenway.com
  • Direct secure messaging: ouachitamedicalclinic.byronhenry@157318.advancedmd-direct.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Ascend Hospice Care LLCMonroe, LA, CCN 191675 Hospice 5% Or Greater Direct Ownership Interest Apr 7, 2022

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 3

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1184810392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 STERLINGTON RD.",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71203",
            "telephone_number": "318-329-9447",
            "fax_number": "318-329-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 STERLINGTON RD.",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71203",
            "telephone_number": "318-329-9447",
            "fax_number": "318-329-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JOE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10028374",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "203650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BASIC PERMIT",
            "identifier": "BP10028374",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.