Active NPI
Robert James Henry Jr., AUD
- Audiologist
- Monroe, MI
National Provider Identifier
1801999271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000159
- Practice address
- 214 E Elm Ave
Ste 111
Monroe, MI 48162-2678 - Phone
- (734) 241-4080
- Fax
- (734) 241-4798
- NPI assigned
- Sep 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000159 | MI | Primary |
Addresses
Primary practice location
214 E Elm Ave
Ste 111
Monroe, MI 48162-2678
Mailing address
PO Box 2085
214 E Elm Ave Ste 111
Monroe, MI 48161-7085
Phone (734) 241-4080
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9350768 | Other | PHCS | |
| 2867 | Other | MI | HEALTH PLAN OF MI |
| 3328905 | Medicaid | MI | |
| 4500070 | Other | UNITED HEALTHCARE | |
| 540E802730 | Other | MI | BCBS |
| 640E826020 | Other | MI | BCBS |
| RH989087 | Other | MI | FEP |
| 5898083 | Other | AETNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000159 | MI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1801999271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2085",
"address_2": "214 E ELM AVE STE 111",
"city": "MONROE",
"state": "MI",
"postal_code": "481617085",
"telephone_number": "734-241-4080",
"fax_number": "734-241-4798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E ELM AVE",
"address_2": "STE 111",
"city": "MONROE",
"state": "MI",
"postal_code": "481622678",
"telephone_number": "734-241-4080",
"fax_number": "734-241-4798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ROBERT",
"middle_name": "JAMES",
"name_suffix": "Jr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9350768",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MI",
"identifier": "2867",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3328905",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4500070",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "540E802730",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "640E826020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEP",
"identifier": "RH989087",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5898083",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.