Provider Demographics
NPI:1598932899
Name:HENRY M. ASIN
Entity Type:Organization
Organization Name:HENRY M. ASIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PODIATRY
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:ASIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:405-340-9251
Mailing Address - Street 1:600 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-3617
Mailing Address - Country:US
Mailing Address - Phone:405-340-9251
Mailing Address - Fax:405-340-0686
Practice Address - Street 1:5401 N PORTLAND AVE STE 395
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2089
Practice Address - Country:US
Practice Address - Phone:405-947-8041
Practice Address - Fax:405-947-8043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK89213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK0656680001Medicare NSC
OK900522181Medicare PIN
OKT40733Medicare UPIN