Organization Active NPI

J. Christopher Henry, M.D., LLC

Doing business as Central Maryland Oculoplastic Consultants

  • Ophthalmology Physician
  • Frederick, MD
National Provider Identifier
1285883009
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
J. CHRISTOPHER HENRY, M.D., LLC
Doing business as
Central Maryland Oculoplastic Consultants
Practice address
174 Thomas Johnson Dr
Suite 204
Frederick, MD 21702-4423
Phone
(301) 228-2943
Fax
(301) 228-2945
NPI assigned
Sep 17, 2008
Last updated
Nov 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Dr. John Christopher Henry, M.D.NPI 1013982784
Title
President
Phone
(301) 733-0552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

174 Thomas Johnson Dr
Suite 204
Frederick, MD 21702-4423

Mailing address

174 Thomas Johnson Dr
Suite 204
Frederick, MD 21702-4423
Phone (301) 228-2943

Other names 1

  • Central Maryland Oculoplastic Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081013000026 MD Part B Supplier - Clinic/Group Practice 9032287479 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD
O20200630000028 VA Part B Supplier - Clinic/Group Practice 9032287479 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling, VA

National Provider Directory

National Provider Directory

Locations

201 Thomas Johnson Dr
Ste 207
Frederick, MD 21702
Phone (240) 469-7630

324 E Antietam St
Hagerstown, MD 21740
Phone (301) 739-7790

324 E Antietam St
Ste 308
Hagerstown, MD 21740
Phone (301) 745-5500

14 Pidgeon Hill Dr
Ste 180
Sterling, VA 20165
Phone (301) 228-2943

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1285883009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 THOMAS JOHNSON DR",
            "address_2": "SUITE 204",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024423",
            "telephone_number": "301-228-2943",
            "fax_number": "301-228-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 THOMAS JOHNSON DR",
            "address_2": "SUITE 204",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024423",
            "telephone_number": "301-228-2943",
            "fax_number": "301-228-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CHRISTOPHER HENRY, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-733-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Maryland Oculoplastic Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.