Shawn Mark Henry, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

L2316 Issued in TX

Practice address

3600 W 7TH St
Fort Worth, TX 76107-2534

Phone

(817) 429-4545

Fax

(817) 429-4547

NPI assigned

Jun 15, 2006

Last updated

May 30, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Lone Star Spine Institute, PA

  • Orthopaedic Surgery of the Spine Physician
  • Fort Worth, TX
  • NPI 1265969562
  Authorized official Same address or phone
• Star Diagnostics of Tarrant County

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1679525695
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1518901222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S WHITE CHAPEL BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927316",
            "telephone_number": "817-429-4545",
            "fax_number": "817-429-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072534",
            "telephone_number": "817-429-4545",
            "fax_number": "817-429-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SHAWN",
        "middle_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L2316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keshona Henry
• Linda Henry, MD
• Lisa J Henry, LMSW
• Samuel Pachis Henry, RBT
• Shameeka S Henry, CHW
• Zachary Nathaniel Henry
• Jennifer Hensarling, LPC
• Kendi Hensel, DO
• Lisa Hensley, PH.D.
• Kacie Henson, LPC

• Orthopaedic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.