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Active NPI 1336257971 Individual Practitioner Male Practitioner

Dr. Michael O Henneberry , MD

Urology • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Henneberry, MD is a registered healthcare professional specializing in Urology in Spokane, WA. Practice services are available at 820 S MCCLELLAN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

820 S Mcclellan St
Suite 118

Spokane, WA 992042457

Telephone 5097473147
Fax 5097470020
Associated Practice Facility / Clinic
🏢 Physicians Clinic Of Spokane Facility NPI 1235159534

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Spokane, WA (351 Statewide)

Telehealth Adoption Rate
28.6% 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 WA MD 00013902

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8250003 (WA)
Commercial Insurance / Payer ID Rrb
340011620 (WA)
Commercial Insurance / Payer ID L&i
22139 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Susan Cain , ARNP

Nurse Practitioner

NPI 1033227863

Advanced Registered Nurse Practitioner

Anna Schweiger

Physician Assistant

NPI 1033992672
NPI 1053301440

Doctor of Medicine (M.D.)

NPI 1063807477

Doctor of Medicine (M.D.)

NPI 1124482385

Doctor of Medicine (M.D.)

NPI 1154439735

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2012

Registered at 820 S MCCLELLAN ST, SUITE 118, SPOKANE, WA 992042457 (Tel: 5097473147)

📍
Updated Business Mailing Address April 19, 2012

Registered at 1404 E 64TH AVE, SPOKANE, WA 992236768 (Tel: 5094482558)

👤
Provider Name / Credentials Updated April 19, 2012

Recorded as MICHAEL HENNEBERRY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2012

Urology (License #MD 00013902 in WA)

🟢
Initial NPI Registration & Enumeration August 25, 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: 1336257971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2006
Last Update: April 19, 2012
Sole Proprietor: No

Mailing Address

1404 E 64th Ave

Spokane, WA 992236768

Phone: 5094482558

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.