Active NPI
Gregory L. Henry, D.O.
- Occupational Medicine Physician
- Hannibal, MO
National Provider Identifier
1760500102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- DO48D79
- Practice address
- 6500 Hospital Drive
Hannibal, MO 63401 - Phone
- (573) 629-3330
- Fax
- (573) 629-3334
- NPI assigned
- Mar 26, 2007
- 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 | DO48D79 | MO | |
| Occupational Medicine Physician | 2083X0100X | DO48D79 | MO | Primary |
Addresses
Primary practice location
6500 Hospital Drive
Hannibal, MO 63401
Mailing address
PO Box 551
6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO48D79 | MO | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1760500102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551",
"address_2": "6500 HOSPITAL DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "63401",
"telephone_number": "573-629-3330",
"fax_number": "573-629-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 HOSPITAL DRIVE",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "63401",
"telephone_number": "573-629-3330",
"fax_number": "573-629-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "GREGORY",
"middle_name": "L.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "DO48D79",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MO",
"license": "DO48D79",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.