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STEPHEN DOUGLAS HENRY M.D. NPI 1811925183


NPI Information

NPI: 1811925183
Provider Name: STEPHEN DOUGLAS HENRY, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

CLIA Number: 05D0556018

Address:
2319 E WASHINGTON BLVD
SUITE 2
PASADENA, CA
ZIP 91104
Phone: (626) 797-8800
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Stephen Douglas Henry, M.D. is a geriatric medicine internal medicine in Pasadena, CA with 48 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Stephen Douglas Henry, M.D. NPI is 1811925183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1976

The provider's business location address is:

2319 E WASHINGTON BLVD
SUITE 2
PASADENA, CA
ZIP 91104-945
Phone: (626) 797-8800
Fax: (626) 797-8575

The NPI 1811925183 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 CLIA number assigned to this NPI record is 05D0556018 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Destruction of skin growth (HCPCS:17000)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

The enumeration date for this NPI number is 6/28/2006 and was last updated on 5/18/2011.


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
1207RG0300XInternal MedicineGeriatric MedicineC37981CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C37981OTHERCALIFORNIASTATE LICENSE
2953652123OTHERFEDERAL TAX ID
3A36807MEDICARE UPIN

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.