Individual provider Active NPI

Lloyd N Henry, MD, FACS

  • Surgery Physician
  • Christiansted, VI
National Provider Identifier
1801882352
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
183 Issued in VI
Practice address
4500 Sion Farm
Suite 1a, Island Medical Center
Christiansted, VI 00820-4493
Phone
(340) 778-5450
Fax
(340) 778-5450
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 183 VI Primary

Addresses

Primary practice location

4500 Sion Farm
Suite 1a, Island Medical Center
Christiansted, VI 00820-4493

Mailing address

PO Box 1126
Christiansted, VI 00821-1126
Phone (340) 778-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120615000497 VI Practitioner - General Surgery 9537323852 Practice locations: Christiansted, VI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183VIMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1801882352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1126",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008211126",
            "telephone_number": "340-778-5450",
            "fax_number": "340-778-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SION FARM",
            "address_2": "SUITE 1A, ISLAND MEDICAL CENTER",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204493",
            "telephone_number": "340-778-5450",
            "fax_number": "340-778-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LLOYD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VI",
            "license": "183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

Verify at the official NPI Registry.