Individual provider Active NPI

William Warren Henry Jr., M.D.

  • Emergency Medicine Physician
  • Batesville, AR
National Provider Identifier
1710962485
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C-8439 Issued in AR
Practice address
2410 Locust Grove Rd
Batesville, AR 72501-9014
Phone
(870) 834-4461
Fax
(870) 251-2504
NPI assigned
Dec 14, 2005
Last updated
May 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C-8439 AR Primary

Addresses

Primary practice location

2410 Locust Grove Rd
Batesville, AR 72501-9014

Mailing address

2410 Locust Grove Rd
Batesville, AR 72501-9014
Phone (870) 834-4461

Other identifiers 2

IdentifierTypeStateIssuer
123734001MedicaidAR
5J174OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070130000238 AR Practitioner - Emergency MedicinePractitioner - Family Practice 0345152344 Reassigns benefits to 4 organizations
I20150109000518 TX Practitioner - Family PracticePractitioner - Emergency Medicine 0345152344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Arkansas College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432

3001 Apache Dr
Suite a
Jonesboro, AR 72401-7432
Phone (870) 936-8000

3001 Apache Dr
Suite B
Jonesboro, AR 72401-7447
Phone (870) 936-8000

3003 Apache Dr
Jonesboro, AR 72401-7432
Phone (870) 931-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince May 2, 2016 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Feb 10, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2013 Accepting new patients
White River Health System, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 2, 2016 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Nes Arkansas, Inc. Emergency Medicine Past Accepting new patients
Associated Radiologists, LTD. Past Accepting new patients
Crossett Health Foundation Past Accepting new patients
Crossett Health Foundation Past Accepting new patients
Southern Emergency Services I PLC Emergency Medicine Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

3024 Stadium Blvd
Jonesboro, AR 72404
Phone (870) 972-7000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • Direct secure messaging: william.henry.1@14285.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1710962485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 LOCUST GROVE RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725019014",
            "telephone_number": "870-834-4461",
            "fax_number": "870-251-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 LOCUST GROVE RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725019014",
            "telephone_number": "870-834-4461",
            "fax_number": "870-251-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "WILLIAM",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-8439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123734001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5J174",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.