Active NPI
Richard L Henry, MD
- Anesthesiology Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME46736
- Practice address
- 1608 Surgeons Dr
Tallahassee, FL 32308-4683 - Phone
- (850) 702-5020
- NPI assigned
- Dec 2, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME46736 | FL | |
| Anesthesiology Physician | 207L00000X | ME46736 | FL | Primary |
Addresses
Primary practice location
1608 Surgeons Dr
Tallahassee, FL 32308-4683
Mailing address
PO Box 452198
Sunrise, FL 33345-2198
Phone (954) 838-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061945100 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME46736 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates of Tallahassee Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Associates of Tallahassee, Inc | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Anesthesiology | Past | Accepting new patients |
Locations
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
3334 Capital Medical Blvd
Ste 500
Tallahassee, FL 32308
Phone (850) 877-4688
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
2173 Centerville Pl
Ste A
Tallahassee, FL 32308
2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688
1608 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 431-6200
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1235113291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452198",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333452198",
"telephone_number": "954-838-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 SURGEONS DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084683",
"telephone_number": "850-702-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "RICHARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME46736",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME46736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061945100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.