Richard York Henry, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C4829 Issued in AR

Practice address

4104 Richards Rd
North Little Rock, AR 72117-2652

Phone

(501) 224-5658

Fax

(501) 224-8114

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1679514343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EXECUTIVE CT",
            "address_2": "SUITE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054536",
            "telephone_number": "501-224-5658",
            "fax_number": "501-224-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 RICHARDS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172652",
            "telephone_number": "501-224-5658",
            "fax_number": "501-224-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "RICHARD",
        "middle_name": "YORK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C4829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104657001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Necole Henderson
• Shana Henderson
• Jennifer Lee Hendon, CCC-SLP
• Caitlyn Beth Hendrickson, LCSW
• Racq'Uelli Henry
• Roberta Elaine Henry, APRN-CNP
• Faith Hensley
• Elise G Henson
• Gregory N Henson, M.D.
• Loren Henton

• Ophthalmology Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.