Active NPI
Jonathon Charles Henry, MD
- Orthopaedic Surgery Physician
- Manitowoc, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 42957
- Practice address
- 1111 Bayshore Dr
Manitowoc, WI 54220-5548 - Phone
- (920) 682-6376
- Fax
- (920) 652-0115
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 42957 | WI | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 42957-020 | WI |
Addresses
Primary practice location
1111 Bayshore Dr
Manitowoc, WI 54220-5548
Mailing address
1035 Kepler Dr
Green Bay, WI 54311-8320
Phone (920) 490-9046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699744730 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhenry60559@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Wisconsin School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 N 10TH St
Manitowoc, WI 54220-4039
Phone (920) 682-6376
Hospital & facility affiliations
- Aurora at Home
- Aurora Medical Ctr Manitowoc County
- Aurora Baycare Medical Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.21 of 100
- Quality
- 78.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.5
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 27 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42957 | WI | MD | Orthopaedic Surgery Physician |
| 42957-020 | WI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Clinic LLP | Orthopaedic Surgery | Current | Accepting new patients |
| Baycare Clinic LLP | Current | Accepting new patients |
Locations
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
1160 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-5400
1035 Kepler Dr
Green Bay, WI 54311
2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400
164 N Broadway
Green Bay, WI 54303
Phone (920) 965-4055
1110 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-4712
2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200
501 N 10th St
Manitowoc, WI 54220
Phone (920) 682-6376
1111 Bayshore Dr
Manitowoc, WI 54220
Phone (920) 682-6376
1720 Memorial Dr
Manitowoc, WI 54220
Phone (920) 683-1250
601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841
5300 Memorial Dr
Two Rivers, WI 54241
Phone (920) 793-7300
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1134490758
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Two Rivers, WI
- NPI 1477508687
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
-
- Home Health Agency
- Green Bay, WI
- NPI 1932361763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1699744730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118320",
"telephone_number": "920-490-9046",
"fax_number": "920-405-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 BAYSHORE DR",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205548",
"telephone_number": "920-682-6376",
"fax_number": "920-652-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "JONATHON",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "42957",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "WI",
"license": "42957-020",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699744730",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhenry60559@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "501 N 10th St",
"city": "Manitowoc",
"state": "WI",
"country_code": "US",
"postal_code": "542204039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.