Max Alan Henry, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01030454 Issued in IN

Practice address

1930 Doctors Park Dr
Columbus, IN 47203-2219

Phone

(812) 372-4463

Fax

(812) 372-2802

NPI assigned

Jul 19, 2006

Last updated

Apr 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Doctors Park Eyecare LLC

  • Ophthalmology Physician
  • Columbus, IN
  • NPI 1730523119
  Authorized official Same address or phone
• Max a Henry MD

  • Ophthalmology Physician
  • Columbus, IN
  • NPI 1205034808
  Authorized official Same address or phone
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #12

  • Optometrist
  • Greensburg, IN
  • NPI 1013480482
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1295755841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 DOCTORS PARK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032219",
            "telephone_number": "812-372-4463",
            "fax_number": "812-372-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 DOCTORS PARK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032219",
            "telephone_number": "812-372-4463",
            "fax_number": "812-372-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MAX",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01030454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200823550A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052270",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200823550B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry County Memorial Hospital (Hickory Creek at Columbus)
• Henry County Memorial Hospital (Silver Oaks Health Campus)
• Hana Henry, OTR
• Kaley Quinn Henry
• Malachi Andrew Henry, D.C.
• Christopher D. Hensley, R.PH.
• Mary Beth Hensley, MD
• Brieanna Henson
• Jeffrey Thomas Henson, MD
• Jodi G Herche, PMHNP

• Ophthalmology Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.