MICHAEL GERALD MCHENRY MD NPI 1891779526

NPI Information

  • NPI: 1891779526
  • Provider Name: MICHAEL GERALD MCHENRY, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 3263 EATON ROAD
    GREEN BAY, WI
    ZIP 54311
  • Phone: (920) 433-3456

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NPI Details

Michael Gerald Mchenry, MD is a family medicine in Green Bay, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Michael Gerald Mchenry, MD NPI is 1891779526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3263 EATON ROAD
GREEN BAY, WI
ZIP 54311
Phone: (920) 433-3456

The enumeration date for this NPI number is 12/6/2005 and was last updated on 5/11/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine23152WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1430750025MEDICARE OSCAR/CERTIFICATIONWISCONSIN
2075100089MEDICARE OSCAR/CERTIFICATIONWISCONSIN
3B54955MEDICARE UPINWISCONSIN
4590050054MEDICARE OSCAR/CERTIFICATIONWISCONSIN
5WI1097001MEDICARE OSCAR/CERTIFICATIONWISCONSIN
6080113143MEDICARE OSCAR/CERTIFICATION
723152OTHERWISCONSINLICENSE
8002143080MEDICARE OSCAR/CERTIFICATIONWISCONSIN
9071700054MEDICARE OSCAR/CERTIFICATIONWISCONSIN
10000045MEDICARE OSCAR/CERTIFICATIONWISCONSIN
11WI1119011MEDICARE OSCAR/CERTIFICATIONWISCONSIN
12000407290MEDICARE OSCAR/CERTIFICATIONWISCONSIN

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: 11/21/2025

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