David Henry
Physician Assistant in Cicero, IN. Individual provider (NPI-1).
NPI number1003215047
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1003215047
- Entity type
- Individual (NPI-1)
- Name
- David Henry
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2014
- Certification date
- Apr 21, 2025
- Last updated
- Sep 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10001704A | IN | Yes |
Practice location
1160 S Peru StCicero, IN 46034-9601
Phone 317-984-9311 · Fax 317-984-9302
Mailing address
Po Box 843022Kansas City, MO 64184-3022
Phone 317-770-6900 · Fax 317-770-6911
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Cicero, IN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.