Active NPI
Christopher Patrick Henry, MD
- Emergency Medicine Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD00040182
- Practice address
- 1717 S J St
Tacoma, WA 98405-4933 - Phone
- (253) 426-4101
- Fax
- (253) 426-6250
- NPI assigned
- Jun 6, 2006
- Last updated
- Nov 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25357 | AZ | |
| Emergency Medicine Physician | 207P00000X | 54616 | CA | |
| Emergency Medicine Physician | 207P00000X | MD00040182 | WA | Primary |
Addresses
Primary practice location
1717 S J St
Tacoma, WA 98405-4933
Mailing address
505 S 336TH St
Suite 600
Federal Way, WA 98003-6328
Phone (253) 838-6180
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0172910 | Other | WA | LIWA ST JOE MEDICAL |
| 8227589 | Medicaid | WA | |
| 1186HE | Other | WA | BSWA ST CLARE |
| 0172911 | Other | WA | LIWA ST CLARE |
| 2165HE | Other | WA | BSWA ST JOE MEDICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Cottonwood St
Woodland, CA 95695-5131
Phone (530) 669-5379
4002 Vista Way
Oceanside, CA 92056-4506
Phone (760) 724-8411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54616 | CA | MD | Emergency Medicine Physician |
| 25357 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Physicians of Southern California Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physician Partners of El Dorado County, Inc | Emergency Medicine | Current | Accepting new patients |
| Sonoma Valley Emergency Physicians Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| Woodland Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Southwest, PC | Emergency Medicine | Current | Accepting new patients |
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Tacoma Emergency Medicine Associates PC | Emergency Medicine | Past | Accepting new patients |
| Olympia Emergency Services, PLLC | Emergency Medicine | Past | Accepting new patients |
| Northwest Physician Associates, Apc | Emergency Medicine | Past | Accepting new patients |
Locations
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025
4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411
400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111
1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961
Interoperability endpoints
- chenry19@yourcarecommunity.org
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Oceanside, CA
- NPI 1225499015
-
- Emergency Medicine Physician
- Woodland, CA
- NPI 1881868164
-
- Emergency Medicine Physician
- Placerville, CA
- NPI 1619278660
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
-
- Emergency Medicine Physician
- Sonoma, CA
- NPI 1710164629
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
-
- Emergency Medicine Physician
- Blythe, CA
- NPI 1609170232
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
-
- Emergency Medicine Physician
- Federal Way, WA
- NPI 1407127442
-
- Emergency Medicine Physician
- Olympia, WA
- NPI 1346267796
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1134321888
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Woodland Memorial Hospital
- General Acute Care Hospital
- Woodland, CA
- NPI 1922116037
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
-
dba Tri-City Medical Center
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1326087925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S 336TH ST",
"address_2": "SUITE 600",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036328",
"telephone_number": "253-838-6180",
"fax_number": "253-838-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S J ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054933",
"telephone_number": "253-426-4101",
"fax_number": "253-426-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "CHRISTOPHER",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "25357",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "54616",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00040182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIWA ST JOE MEDICAL",
"identifier": "0172910",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8227589",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSWA ST CLARE",
"identifier": "1186HE",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIWA ST CLARE",
"identifier": "0172911",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSWA ST JOE MEDICAL",
"identifier": "2165HE",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.