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DERRICK ALAN HENRY MD NPI 1417453234


NPI Information

NPI: 1417453234
Provider Name: DERRICK ALAN HENRY, MD
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Individual

Specialization: Foot and Ankle Surgery

PECOS Registration: Yes

Address:
1400 S GERMANTOWN RD
GERMANTOWN, TN
ZIP 38138
Phone: (901) 759-3111
Get Directions

Derrick Alan Henry, MD is a foot and ankle surgery orthopaedic surgery in Germantown, TN with 6 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. Derrick Alan Henry, MD NPI is 1417453234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1400 S GERMANTOWN RD
GERMANTOWN, TN
ZIP 38138-205
Phone: (901) 759-3111

The NPI 1417453234 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/2/2018 and was last updated on 7/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryE-16463ARKANSASNo
2207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery31406MISSISSIPPINo
3207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery67994TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.