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Deactivated NPI 1104915768 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Conway Henry , MD

Urology • Pescadero, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Henry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2006
NPI Deactivation Date September 07, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Henry, MD was a registered Urology practicing in Pescadero, CA. Throughout an active medical career spanning 15 years, Dr. Henry provided care at the practice location at 316 MADRONE AVE until profile deactivation on 2021-09-07.

Practice Location & Contact Primary Location

Practice Address

316 Madrone Ave

Pescadero, CA 940600795

Telephone 6508790380

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Pescadero, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Pescadero, CA (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CA C35375

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 07, 2021

Record deactivated on September 07, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 316 MADRONE AVE, PESCADERO, CA 940600795 (Tel: 6508790380)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 795, 316 MADRONE AVE, PESCADERO, CA 940600795 (Tel: 6508790380)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN HENRY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #C35375 in CA)

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Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104915768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 08, 2007
Deactivation Date: September 07, 2021

Mailing Address

Po Box 795, 316 Madrone Ave

Pescadero, CA 940600795

Phone: 6508790380

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.