Active NPI
Guy Michael Henry, M.D.
- Specialist
- Little Rock, AR
National Provider Identifier
1235184599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R-3877
- Practice address
- 9600 Lile Dr
Suite 250 Doctor's Park BLDG.
Little Rock, AR 72205-6326 - Phone
- (501) 225-9905
- Fax
- (501) 225-3323
- NPI assigned
- May 24, 2006
- Last updated
- May 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R-3877 | AR | Primary |
Addresses
Primary practice location
9600 Lile Dr
Suite 250 Doctor's Park BLDG.
Little Rock, AR 72205-6326
Mailing address
9600 Lile Dr
Suite 250 Doctor's Park BLDG.
Little Rock, AR 72205-6326
Phone (501) 225-9905
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13906000000 | Other | AR | QUALCHOICE |
| 4204396 | Other | AR | AETNA |
| 769515 | Other | AR | HEALTHLINK |
| 163024001 | Medicaid | AR | |
| 204033160 | Other | AR | UNITED HEALTHCARE |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-3877 | AR | MD | Specialist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1235184599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 LILE DR",
"address_2": "SUITE 250 DOCTOR'S PARK BLDG.",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056326",
"telephone_number": "501-225-9905",
"fax_number": "501-225-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 LILE DR",
"address_2": "SUITE 250 DOCTOR'S PARK BLDG.",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056326",
"telephone_number": "501-225-9905",
"fax_number": "501-225-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "GUY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "R-3877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "13906000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4204396",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "769515",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163024001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "204033160",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.