Julie L. Henry, M.D, P.C.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

4301066091 Issued in MI

Legal business name

JULIE L. HENRY, M.D, P.C.

Practice address

27427 Schoenherr Rd
Suite 200
Warren, MI 48088-4729

Phone

(586) 547-4417

Fax

(586) 574-4473

NPI assigned

Feb 7, 2007

Last updated

Jun 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Julie L Henry, M.D.

Title

Owner

Phone

(586) 574-4417

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Tax ID family

Julie L Henry MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Julie L Henry, MD, PC

  • Orthopaedic Surgery Physician
  • Warren, MI
  • NPI 1619987591
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie L Henry-Kelly, MD

  • Orthopaedic Surgery Physician
  • Warren, MI
  • NPI 1013951953
  Medicare reassignment NPD
• Teraneh Jean Huotari, MPT

  • Physical Therapist
  • Warren, MI
  • NPI 1861635179
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1881734143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27427 SCHOENHERR RD",
            "address_2": "SUITE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884729",
            "telephone_number": "586-547-4417",
            "fax_number": "586-574-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27427 SCHOENHERR RD",
            "address_2": "SUITE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884729",
            "telephone_number": "586-547-4417",
            "fax_number": "586-574-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE L. HENRY, M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-574-4417",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "4876080001",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301066091",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301066091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judson Center, Inc.
• Judson Center, Inc. (Judson Center)
• Kelima Julardzija
• Katie Juliano, BA
• Julie L Henry, MD, PC
• Amanda Kay Jung
• JW Transports
• K & M Medical & Catastrophic Management, LLC (The Karring Group)
• K Family Dentistry PLLC
• Kaiser Faiz Kabir, DO

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Warren, MI
• Providers in Warren, MI by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.