Active NPI
Henry N Read, PA
- Physician Assistant
- Grants Pass, OR
National Provider Identifier
1225099815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA157583
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0209582 | Other | CA | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA157583 | OR | MD | Physician Assistant |
Interoperability endpoints
- 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.