Individual provider Active NPI

John N Henrie, M.D.

  • Diagnostic Radiology Physician
  • Murray, UT
National Provider Identifier
1477593556
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
345747-1205 Issued in UT
Practice address
5444 Green St
Murray, UT 84123-5632
Phone
(801) 262-8120
Fax
(801) 262-3897
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 345747-1205 UT Primary
Diagnostic Radiology Physician 2085R0202X M-8443 ID

Addresses

Primary practice location

5444 Green St
Murray, UT 84123-5632

Mailing address

5444 Green St
Murray, UT 84123-5632
Phone (801) 286-2264

Other identifiers 1

IdentifierTypeStateIssuer
D2017MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040131000334 UT Practitioner - Diagnostic Radiology 3870496219 Reassigns benefits to 3 organizations
I20080714000164 ID Practitioner - Diagnostic Radiology 3870496219 Reassigns benefits to 1 organization
I20260225003247 WA Practitioner - Diagnostic Radiology 3870496219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Tellica Imaging - Washington LLCGroup PAC ID 0648757393, 50 clinicians
Tellica Imaging LLCGroup PAC ID 3577950765, 17 clinicians

Practice addresses (Care Compare)

1333 N Main St
Suite 1
Cedar City, UT 84721-9314
Phone (435) 868-5000

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

2941 S 38TH St
Suite E
Tacoma, WA 98409-5647
Phone (253) 534-8689

5121 S Cottonwood St
Murray, UT 84107-5701

5217 S State St
Suite 200
Murray, UT 84107-4812
Phone (208) 417-5100

8 TH Ave and C St
LDS Hosp Eeg Phys GRP
Salt Lake City, UT 84143
Phone (801) 507-7000

8505 W Overland Rd
Boise, ID 83709-1644
Phone (208) 417-5100

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007
  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058
  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-8443IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tellica Imaging, LLC CurrentSince Nov 7, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 1, 2017 Accepting new patients
Mountain Medical Physician Specialists PC Diagnostic Radiology CurrentSince Sep 1, 1997 Accepting new patients
Tellica Imaging, LLC CurrentSince Feb 21, 2022 Accepting new patients
Tellica Imaging, LLC Diagnostic Radiology CurrentSince Nov 7, 2023 Accepting new patients
Tellica Imaging, LLC CurrentSince Feb 21, 2022 Accepting new patients
Tellica Imaging, LLC CurrentSince Apr 13, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 12, 2024 Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology PastSince Oct 5, 2025 Accepting new patients

Locations

8505 W Overland Rd
Boise, ID 83709
Phone (208) 417-5100

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

5295 S Commerce Dr
Ste 550
Salt Lake City, UT 84107
Phone (801) 313-4110

5444 S Green St
Salt Lake City, UT 84123
Phone (801) 262-2647

5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100

5323 S Woodrow St
Salt Lake City, UT 84107
Phone (801) 261-8346

296 E 3900 S
Salt Lake Cty, UT 84107
Phone (801) 262-8120

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669

1486 E Skyline Dr
South Ogden, UT 84405
Phone (801) 475-4552

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

421 E Main St
Auburn, WA 98002
Phone (253) 204-2530

2941 S 38th St
Ste E
Tacoma, WA 98409
Phone (253) 534-8689

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1477593556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 GREEN ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235632",
            "telephone_number": "801-286-2264",
            "fax_number": "801-262-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5444 GREEN ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235632",
            "telephone_number": "801-262-8120",
            "fax_number": "801-262-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIE",
        "first_name": "JOHN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "345747-1205",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-8443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D2017",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.