Charles R Henry Jr., M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

C-5199 Issued in AR

Practice address

5320 Sherwood Rd
Little Rock, AR 72207-5332

Phone

(501) 666-6095

NPI assigned

Oct 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1841541752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 SHERWOOD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075332",
            "telephone_number": "501-666-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 SHERWOOD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075332",
            "telephone_number": "501-666-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AR",
            "license": "C-5199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Hearing
• Ronda Shirletta Henry-Tillman, M.D.
• Allison Henry, PA-C
• Amanda Kay Henry
• Caleb Henry
• D Andrew Henry, MD
• D'Onna Nicole Henry
• David Patrick Henry Sr.
• David Simmons Henry, MD, PHD, MPH
• Derrick Alan Henry, MD

• Gynecology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.