NPIMap

Organization Active NPI

Guy Michael Henry, M.D., P.a.

Doing business as Grace Clinic For Women

  • Specialist
  • Little Rock, AR
National Provider Identifier
1902853401
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R-3877 Issued in AR
Legal business name
GUY MICHAEL HENRY, M.D., P.A.
Doing business as
Grace Clinic For Women
Practice address
9600 Lile Dr
Doctor's Park BLDG. Suite 250
Little Rock, AR 72205-6326
Phone
(501) 225-9905
Fax
(501) 225-3323
NPI assigned
May 28, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Guy Michael Henry, M.D.NPI 1235184599
Title
Owner
Phone
(501) 225-9905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X R-3877 AR Primary

Addresses

Primary practice location

9600 Lile Dr
Doctor's Park BLDG. Suite 250
Little Rock, AR 72205-6326

Mailing address

9600 Lile Dr
Doctor's Park BLDG. Suite 250
Little Rock, AR 72205-6326
Phone (501) 225-9905

Other identifiers 1

IdentifierTypeStateIssuer
163053002MedicaidAR

Other names 1

  • Grace Clinic For Women Doing business as

National Provider Directory

National Provider Directory

Locations

904 Autumn Rd
Little Rock, AR 72211
Phone (501) 225-4425

9600 Baptist Health Dr
Ste 250
Little Rock, AR 72205
Phone (501) 221-1781

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1902853401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 LILE DR",
            "address_2": "DOCTOR'S PARK BLDG. SUITE 250",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056326",
            "telephone_number": "501-225-9905",
            "fax_number": "501-225-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 LILE DR",
            "address_2": "DOCTOR'S PARK BLDG. SUITE 250",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056326",
            "telephone_number": "501-225-9905",
            "fax_number": "501-225-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY MICHAEL HENRY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-225-9905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "R-3877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163053002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Clinic For Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.