Individual provider Active NPI

Henry N Read, PA

  • Physician Assistant
  • Grants Pass, OR
National Provider Identifier
1225099815
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA157583 Issued in OR
Practice address
702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859
Phone
(541) 472-0603
Fax
(541) 472-0609
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6775 CA
Physician Assistant 363A00000X PA157583 OR Primary

Addresses

Primary practice location

702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859

Mailing address

702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859
Phone (541) 472-0603

Other practice location 1

625 SW Ramsey Ave.
Suite A
Grants Pass, OR 97527-5808
Phone (541) 474-5004

Other identifiers 1

IdentifierTypeStateIssuer
0209582OtherCASTATE OF WASHINGTON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA157583ORMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: henry.read.p1@direct.spocortho.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225099815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW RAMSEY AVE STE 112",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275859",
            "telephone_number": "541-472-0603",
            "fax_number": "541-472-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW RAMSEY AVE STE 112",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275859",
            "telephone_number": "541-472-0603",
            "fax_number": "541-472-0609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 SW Ramsey Ave.",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275808",
            "country_code": "US",
            "telephone_number": "541-474-5004",
            "fax_number": "541-474-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "READ",
        "first_name": "HENRY",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "6775",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA157583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON",
            "identifier": "0209582",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.