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DR. MARY MARTIN HENRY M.D. NPI 1144283136


NPI Information

NPI: 1144283136
Provider Name: DR. MARY MARTIN HENRY, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

PECOS Registration: Yes

Address:
6800 STATE ROUTE 162
MARYVILLE, IL
ZIP 62062
Phone: (618) 288-5711
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DR. Mary Martin Henry, M.D. is an anatomic pathology and clinical pathology pathology in Maryville, IL with 44 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Mary Martin Henry, M.D. NPI is 1144283136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1980

The provider's business location address is:

6800 STATE ROUTE 162
MARYVILLE, IL
ZIP 62062-521
Phone: (618) 288-5711
Fax: (314) 977-7615

The NPI 1144283136 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 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.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)

The enumeration date for this NPI number is 4/10/2006 and was last updated on 1/26/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZC0500XPathologyCytopathologyR1J04MISSOURINo
2207ZC0500XPathologyCytopathology036137460ILLINOISNo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyR1J04MISSOURINo
4207ZP0102XPathologyAnatomic Pathology & Clinical Pathology04-21754KANSASNo
5207ZP0102XPathologyAnatomic Pathology & Clinical Pathology036137460ILLINOISYes

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
1705958OTHERKANSASKS BCBS
2100257620AMEDICAIDKANSAS
3208616508MEDICAIDMISSOURI
414731031OTHERKS CITY BCBS

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: 5/5/2024

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.