Active NPI
John P Henry, CRNA
- Anesthesiology Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- CRNA-0024164722
- Practice address
- 1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453 - Phone
- (540) 741-7614
- NPI assigned
- Jul 18, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | RN-0001152041 | VA | |
| Anesthesiology Physician | 207L00000X | CRNA-0024164722 | VA | Primary |
Addresses
Primary practice location
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Mailing address
3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (888) 280-9533
Other practice location 1
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3789
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056843700 | Medicaid | DC | |
| 1629077193 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA-0024164722 | VA | MD | Anesthesiology Physician |
| RN-0001152041 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia, PC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates LTD. | Anesthesiology | Past | Accepting new patients |
Locations
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1316947971
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1629077193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD STE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "888-280-9533",
"fax_number": "919-873-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SAM PERRY BLVD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014453",
"telephone_number": "540-741-7614"
}
],
"practiceLocations": [
{
"address_1": "4320 Seminary Rd",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223041535",
"country_code": "US",
"telephone_number": "703-504-3789",
"fax_number": "703-504-3556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "RN-0001152041",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "CRNA-0024164722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056843700",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629077193",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.