Active NPI
John N Henrie, M.D.
- Diagnostic Radiology Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 345747-1205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D2017 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncTellica Imaging - Washington LLCTellica Imaging LLC
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
- Intermountain Health McKay-Dee Hospital
- Intermountain Health Cedar City Hospital
- Intermountain Health Riverton Hospital
- Intermountain Health Alta View Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-8443 | ID | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Mountain Medical Physician Specialists PC | Diagnostic Radiology | Current | Accepting new patients |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Tellica Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging - Washington LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Tellica Imaging - Washington LLC | Diagnostic Radiology | Past | 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.
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1346093150
Diagnostic Radiology, WA
-
- Diagnostic Radiology Physician
- Murray, UT
- NPI 1720035520
Diagnostic Radiology, UT
-
- Physiological Laboratory
- Ogden, UT
- NPI 1144802802
-
- Physiological Laboratory
- West Valley City, UT
- NPI 1407438039
-
- Physiological Laboratory
- Spanish Fork, UT
- NPI 1518727734
-
- Physiological Laboratory
- Salt Lake City, UT
- NPI 1649998709
-
- Physiological Laboratory
- Bountiful, UT
- NPI 1205554367
-
- Physiological Laboratory
- Orem, UT
- NPI 1508448291
-
- Physiological Laboratory
- Draper, UT
- NPI 1710605696
-
- Radiology Clinic/Center
- Nashua, NH
- NPI 1003510322
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.