THOMAS J HENKE D.O.
NPI 1922485515
General Practice in Grand Rapids, MI

Q: What is Thomas Henke's NPI number?

The NPI number for Thomas Henke is 1922485515. It was assigned to this individual provider in the NPPES registry on May 3, 2015.

Q: What is Thomas Henke's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Henke was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 03, 2015

625 KENMOOR AVE SE STE 301, GRAND RAPIDS, MI 49546(616) 916-8063 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2022, Nov 25, 2020, Nov 13, 2020 (3 updates tracked since 2020).

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About Thomas J Henke D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS J HENKE D.O. (NPI 1922485515) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (5101025584) and active in the NPI registry since May 2015. He maintains a secondary practice location in Edgewood.

NPPES Registry Identity

NPI1922485515

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameTHOMAS J HENKECredential: D.O.

Location Address625 KENMOOR AVE SE STE 301Grand Rapids, MI 49546-2395

Mailing Address3084 Barons Cove DrEdgewood, KY 41017-8131

Phone(616) 916-8063

Sole ProprietorYes

Enumeration DateMay 3, 2015

Last NPPES UpdateMarch 22, 20223 updates tracked since enumeration

NPPES CertifiedMarch 22, 2022

✔ NPI 1922485515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 5101025584

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 5101025584 (MI)

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 5101025584 (MI)

625 KENMOOR AVE SE STE 301, Grand Rapids, MI 49546

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Secondary Practice Location 1

Location 13084 Barons Cove DrEdgewood, KY 41017-8131 · Phone (859) 341-8877

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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