Provider Demographics
NPI:1568402667
Name:ALBERS, HENRY WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:WILLIAM
Last Name:ALBERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHILDRENS PLZ
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1898
Mailing Address - Country:US
Mailing Address - Phone:937-641-3010
Mailing Address - Fax:937-641-5003
Practice Address - Street 1:1 CHILDRENS PLZ
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1898
Practice Address - Country:US
Practice Address - Phone:937-641-3010
Practice Address - Fax:937-641-5003
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074754A207X00000X, 207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2070628OtherBCMH
OH278466OtherAMERIGROUP
OH74054OtherBC/BS
IN200193630Medicaid
OH752568OtherBUCKEYE
OH05284OtherPARAMOUNT
OH2070628Medicaid
KY6490164Medicaid
OH200037200OtherMEDICARE RAILROAD
OH0901055OtherUNISON
OH2263490OtherAETNA
OH311676182028OtherCARESOURCE
OH091055OtherUNITED HEALTHCARE
OH091055OtherUNITED HEALTHCARE
OH2263490OtherAETNA
IN200193630Medicaid
KY6490164Medicaid
OHALO857533Medicare PIN