Active NPI
Henry S Gindt, MD
- General Practice Physician
- Marion, IN
National Provider Identifier
1043339286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01070594A
- Practice address
- 1136 N Baldwin Ave
Marion, IN 46952-2536 - Phone
- (765) 660-7440
- Fax
- (765) 662-4715
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01070594A | IN | Primary |
Addresses
Primary practice location
1136 N Baldwin Ave
Marion, IN 46952-2536
Mailing address
9515 Ledge Wood CT
Fort Wayne, IN 46804-4701
Phone (901) 606-3847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201142000 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | henry.gindt@mgh.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Primary Care of Memphis PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1376738906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1043339286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9515 LEDGE WOOD CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044701",
"telephone_number": "901-606-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 N BALDWIN AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469522536",
"telephone_number": "765-660-7440",
"fax_number": "765-662-4715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINDT",
"first_name": "HENRY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01070594A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201142000",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "henry.gindt@mgh.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1136 N Baldwin Ave",
"city": "Marion",
"state": "IN",
"country_code": "US",
"postal_code": "469522536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.