George T Henning III, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

073987 Issued in MI

Practice address

5301 East Huron River Drive
Ypsilanti, MI 48197-0995

Phone

(734) 712-3595

Fax

(734) 712-5344

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: george.henning@stjoeshealth.direct.varian.com

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467470807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 EAST HURON RIVER DRIVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481970995",
            "telephone_number": "734-712-3595",
            "fax_number": "734-712-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 EAST HURON RIVER DRIVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481970995",
            "telephone_number": "734-712-3595",
            "fax_number": "734-712-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNING",
        "first_name": "GEORGE",
        "middle_name": "T",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "073987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4668302",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie L Henderson
• Rachel Lynn Henderson, CRNA
• Kelsie Henika
• Barbara Jean Henley, RN
• Elizabeth Tara Henley, DO
• Darcy Henrikson, AUD
• Karen Ann Henry, PSYD
• Mary Henry
• Jason Geoffrey Hepworth
• Vanessa Marie Hereford, M.D.

• Radiation Oncology Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Radiation Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.