Michael P McHenry, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001165 Issued in MI

Practice address

555 W Wackerly St
Midland, MI 48640-4710

Phone

(989) 631-9515

Fax

(989) 839-8817

NPI assigned

Mar 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Midmichigan Urgent Care

  • Family Medicine Physician
  • Midland, MI
  • NPI 1326070897
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700855319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404710",
            "telephone_number": "989-631-9515",
            "fax_number": "989-839-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404710",
            "telephone_number": "989-631-9515",
            "fax_number": "989-839-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Rose McGraw
• Gabrielle Nicole McGuire, LPC
• Laura Anne-Hall McGuire, P.T.
• Thomas Richard McGuirk, MSN, APRN, FNP-C
• Karen D McHenry, PA
• Lisa Marie McIlvenna, DMIN
• Mark Kristofer McIntire, PA
• Nolan McIntosh, PT, DPT, ATC
• McLaren Dental Associates, P.C.
• McLaren Health Management Group

• Physician Assistant in Midland, MI
• Providers in Midland, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.