Individual provider Active NPI

Richard L Henry, MD

  • Anesthesiology Physician
  • Tallahassee, FL
National Provider Identifier
1235113291
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME46736 Issued in FL
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

Updated by the provider on Sep 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
061945100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070227000065 FL Practitioner - Anesthesiology 6002709656 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME46736FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Associates of Tallahassee Inc Anesthesiology CurrentSince Jul 1, 1985 Accepting new patients
Anesthesiology Associates of Tallahassee, Inc Anesthesiology CurrentSince Jul 1, 1985 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Mar 6, 2007 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Mar 6, 2007 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.

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

Verify at the official NPI Registry.