John R. Henritze in Johnson City - Physician Assistant
John R. Henritze - NPI 1386609410
John R. Henritze is a Physician Assistant in Johnson City, Tennessee. John R. Henritze practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John R. Henritze is 1386609410. The last update date is 2021-08-27.
John R. Henritze's current location address is 2410 Susannah St, Johnson City, Tennessee. You can contact this provider via phone number 4232829011 and fax number 4232820035. The mailing address for John R. Henritze is 2410 Susannah St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R. Henritze |
|---|---|
| Address | 2410 Susannah St, Johnson City, Tennessee |
| Phone Number | 4232829011 |
| Fax Number | 4232820035 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1386609410 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2021-08-27 |
Provider Mailing Address Detail
| Address | 2410 Susannah St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376011748 |
| Phone Number | 4232829011 |
| Fax Number | 4232820035 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA0000001035 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA0000001035 | TN | LICENSE | |
| 1386609410 | VA | -- | |
| 1517352 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John R. Henritze by the Centers for Medicare & Medicaid Services?
The John R. Henritze has been assigned the NPI (National Provider Identifier) 1386609410. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where John R. Henritze's facilities are situated?
The facilities of John R. Henritze are physically located at the following address: 2410 Susannah St, Johnson City, TN, 376011748.
What is the area of specialization for John R. Henritze, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John R. Henritze is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386609410 to John R. Henritze?
The Centers for Medicare & Medicaid Services originally issued the 1386609410 to John R. Henritze on 2006-04-20.
As of what date were the details pertaining to John R. Henritze last refreshed?
The information related to the John R. Henritze, including its address, specialty, and other relevant details, was last updated on 2021-08-27.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA