Melvin L Henry, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD00010897 Issued in WA

Practice address

1901 S Cedar St
Suite 301 Cardiac Study Center, Inc. P.S.
Tacoma, WA 98405-2308

Phone

(253) 572-7320

Fax

(253) 627-3191

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardiac Study Center Inc PS

  • Cardiovascular Disease Physician
  • Tacoma, WA
  • NPI 1942231196
  NPD

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1851376099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST",
            "address_2": "SUITE 301 CARDIAC STUDY CENTER, INC. P.S.",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052308",
            "telephone_number": "253-572-7320",
            "fax_number": "253-627-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST",
            "address_2": "SUITE 301 CARDIAC STUDY CENTER, INC. P.S.",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052308",
            "telephone_number": "253-572-7320",
            "fax_number": "253-627-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MELVIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00010897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1364207",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane M Henry, RN,CNOR,CRNFA
• Holly L Henry
• Jenna Marie Henry, PHARMD
• Kathryn Henry, BEHAVIORAL HEALTH
• Kellee Henry, RN
• Michelle Henry
• Sarah Anne Henry, PH.D.
• John F. Henson
• Heather Appril Hento, DPM
• Sharon F. Hento, ARNP

• Cardiovascular Disease Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Cardiovascular Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.