Physician Compare National (NPI:1932179090)

HEALTHCARE PROVIDER: GEORGE KEITH HENRY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932179090
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648288746
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120730000383
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HENRY
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Middle Name	KEITH
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	213 REECEVILLE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 20
	Group Practice or individual's line 2 address
City	COATESVILLE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	193201585
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390220
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JENNERSVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390076
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BRANDYWINE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390179
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHESTER COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y