Individual provider Active NPI

Tudie Ann Roxnee Henry, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1245573351
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
283426-1 Issued in NY
Practice address
111 S 11TH St
Philadelphia, PA 19107-4824
Phone
(215) 955-9837
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 283426-1 NY Primary

Addresses

Primary practice location

111 S 11TH St
Philadelphia, PA 19107-4824

Mailing address

6 Berne Dr
Apalachin, NY 13732-4032
Phone (917) 579-7511

Other names 1

  • N/a N/a N/a Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160902000704 NY Practitioner - Emergency Medicine 1456583822 Reassigns benefits to 2 organizations
I20200507000187 MD Practitioner - Emergency Medicine 1456583822 Reassigns benefits to 4 organizations
I20200520001226 WV Practitioner - Emergency Medicine 1456583822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of Ny Upstate Medical University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exigence Medical of Binghamton PLLCGroup PAC ID 7012913916, 20 clinicians

Practice addresses (Care Compare)

169 Riveride Dr
Binghamton, NY 13905-4246
Phone (607) 798-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283426-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Emergency Physicians, LLP Emergency Medicine CurrentSince Apr 14, 2020 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Apr 10, 2020 Accepting new patients
WHC Emerg Phys CurrentSince May 21, 2020 Accepting new patients
Hospitalist Medicine Physicians of Maryland-Frederick PC Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Cma Medical Practice PLLC Emergency Medicine CurrentSince Dec 31, 2019 Accepting new patients
Exigence Medical of Binghamton PLLC CurrentSince Jul 1, 2016 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Apr 10, 2020 Accepting new patients
WHC Physician Group LLC CurrentSince May 21, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

75 Remit Dr
Chicago, IL 60675

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

Interoperability endpoints

  • Direct secure messaging: thenry198959@direct-guthrie.org

Organizations & group practices 10

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

Hospital & facility affiliations 2

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1245573351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BERNE DR",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137324032",
            "telephone_number": "917-579-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "TUDIE ANN",
        "middle_name": "ROXNEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "283426-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.