Max a Henry MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MAX A HENRY MD

Practice address

1930 Doctors Park Dr
Columbus, IN 47203-2219

Phone

(812) 372-4463

Fax

(812) 372-2802

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Max Alan Henry, M.D.

Title

Owner

Phone

(812) 372-4463

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1205034808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 DOCTORS PARK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032219",
            "telephone_number": "812-372-4463",
            "fax_number": "812-372-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 DOCTORS PARK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032219",
            "telephone_number": "812-372-4463",
            "fax_number": "812-372-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX A HENRY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-372-4463",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003452A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200823550A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.