Douglas J Henke MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

DOUGLAS J HENKE MD PC

Practice address

1711 S Stephenson Ave
Suite 125
Iron Mountain, MI 49801-3639

Phone

(906) 779-4270

Fax

(906) 779-4276

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Jon Henke, M.D.

Title

President

Phone

(906) 779-4270

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia Determan Henke, PA-MPAS

  • Physician Assistant
  • Iron Mountain, MI
  • NPI 1477656692
  NPD (past)
• James Erwin Merrill, D.O.

  • Obstetrics & Gynecology Physician
  • Iron Mountain, MI
  • NPI 1114009859
  NPD (past)
• Adam Paul Ryan, M.D.

  • Obstetrics & Gynecology Physician
  • Iron Mountain, MI
  • NPI 1760585996
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1770686933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "address_2": "SUITE 125",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013639",
            "telephone_number": "906-779-4270",
            "fax_number": "906-779-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "address_2": "SUITE 125",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013639",
            "telephone_number": "906-779-4270",
            "fax_number": "906-779-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J HENKE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "HENKE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-779-4270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30730800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3285138",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aldo John Domenichini, MD
• Cynthia Donahue, CAPSW
• Addie Ann Donal, RN
• Joseph T Donohue, MD
• Kelly Doughman, LPC
• Michael F Downs, M.D.
• Todd Francis Drake, LMSW
• Kathleen Jane Dupont, RN
• Kelly J Dupont, RN
• Sonja Marie Dwyer

• Obstetrics & Gynecology Physician in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.