Organization Active NPI

Marshall McHenry,M.D., LLC

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1639259724
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35046952 Issued in OH
Legal business name
MARSHALL MCHENRY,M.D., LLC
Practice address
4871 Prosperity PL
Cincinnati, OH 45238-4027
Phone
(513) 251-9900
Fax
(513) 244-3999
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Marshall McHenry, M.D.
Title
Owner
Phone
(513) 251-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35046952 OH Primary

Addresses

Primary practice location

4871 Prosperity PL
Cincinnati, OH 45238-4027

Mailing address

4871 Prosperity PL
Cincinnati, OH 45238-4027
Phone (513) 251-9900

Other identifiers 3

IdentifierTypeStateIssuer
000000195243OtherOHANTHEM BCBS
DD9897OtherOHRAILROAD MEDICARE
0570083MedicaidOH

National Provider Directory

National Provider Directory

Locations

4871 Prosperity Pl
Cincinnati, OH 45238

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1639259724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 PROSPERITY PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384027",
            "telephone_number": "513-251-9900",
            "fax_number": "513-244-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 PROSPERITY PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384027",
            "telephone_number": "513-251-9900",
            "fax_number": "513-244-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MCHENRY,M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "MCHENRY",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-251-9900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35046952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000195243",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD9897",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0570083",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.