Henry Leon Underwood III, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G2871 Issued in TX

Practice address

3800 Joe Ramsey Blvd E
Suite a
Greenville, TX 75401-7711

Phone

(903) 455-8000

Fax

(903) 454-3577

NPI assigned

Dec 13, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• American Medical Group PA

  • Family Medicine Physician
  • Greenville, TX
  • NPI 1942489521
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hunt Memorial Hospital District

  • General Acute Care Hospital
  • Greenville, TX
  • NPI 1598750721
  Care Compare affiliation

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1316009947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754030911",
            "telephone_number": "903-455-8000",
            "fax_number": "903-454-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JOE RAMSEY BLVD E",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017711",
            "telephone_number": "903-455-8000",
            "fax_number": "903-454-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "HENRY",
        "middle_name": "LEON",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G2871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122836304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Tuttle, R.PH.
• Two Circle, Inc
• Earl Day Tyler, MD
• Courtney E. Tyson, P.A.
• Dian Underwood
• Unique Medical Technology, PLLC
• Suvij Upatham, MD
• Asim R Usman, MD
• Rafay Usman, MD
• Angelica Rose Baquio Valdez

• Family Medicine Physician in Greenville, TX
• Providers in Greenville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.