Active NPI
Andrew Dave Henry, MD
- Endocrinology, Diabetes & Metabolism Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 79549
- Practice address
- 9260 Bay Plaza Blvd
Suite 502
Tampa, FL 33619-4458 - Phone
- (813) 676-0234
- Fax
- (813) 676-0237
- NPI assigned
- Nov 28, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 79549 | FL | Primary |
Addresses
Primary practice location
9260 Bay Plaza Blvd
Suite 502
Tampa, FL 33619-4458
Mailing address
9260 Bay Plaza Boulevard
Suite 502
Tampa, FL 33619
Phone (813) 676-0234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2581760D | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- State University of New York at Buffalo School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9260 Bay Plaza Blvd
Suite 502
Tampa, FL 33619-4458
Phone (813) 676-0234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79549 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew D. Henry M.D., P.a. | Current | Accepting new patients | |
| Summerfield Medical Clinic MD PA | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Locations
9270 Bay Plaza Blvd
Ste 620
Tampa, FL 33619
Phone (813) 251-6911
9260 Bay Plaza Blvd
Ste 502
Tampa, FL 33619
Phone (813) 676-0234
9270 Bay Plaza Blvd
Ste 640
Tampa, FL 33619
Phone (813) 621-0130
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGDDCA/Endpoint/JGDDCA
Organizations & group practices 2
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.
-
- Specialist
- Tampa, FL
- NPI 1851666523
-
- Multi-Specialty Clinic/Center
- Riverview, FL
- NPI 1568780492
Endocrinology, Diabetes & Metabolism
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
dba HCA Florida South Shore Hospital
- General Acute Care Hospital
- Sun City Center, FL
- NPI 1164476867
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1194892141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9260 BAY PLAZA BOULEVARD",
"address_2": "SUITE 502",
"city": "TAMPA",
"state": "FL",
"postal_code": "33619",
"telephone_number": "813-676-0234",
"fax_number": "813-676-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9260 BAY PLAZA BLVD",
"address_2": "SUITE 502",
"city": "TAMPA",
"state": "FL",
"postal_code": "336194458",
"telephone_number": "813-676-0234",
"fax_number": "813-676-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ANDREW",
"middle_name": "DAVE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "79549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2581760D",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.