Active NPI
Robert A Henning, PA
- Medical Physician Assistant
- Punta Gorda, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9102276
- Practice address
- 25097 Olympia Ave
Punta Gorda, FL 33950-3903 - Phone
- (941) 764-5858
- Fax
- (941) 639-3805
- NPI assigned
- Sep 5, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9102276 | FL | Primary |
Addresses
Primary practice location
25097 Olympia Ave
Punta Gorda, FL 33950-3903
Mailing address
232 Hidden Bay Dr
#302
Osprey, FL 34229-9176
Phone (941) 966-3924
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343
150 W McKenzie St
Punta Gorda, FL 33950-5500
Phone (941) 621-6476
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181
25097 Olympia Ave
Suite 102
Punta Gorda, FL 33950-3912
Phone (941) 237-7100
25098 Olympia Ave
Unit 400
Punta Gorda, FL 33950-3938
Phone (941) 621-6771
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
3340 Tamiami TRL
Port Charlotte, FL 33952-8088
Phone (941) 237-7100
3571 Del Prado Blvd N
Suite 2
Cape Coral, FL 33909-5287
Phone (239) 656-6300
4130 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-9207
Phone (941) 787-7100
900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708
Hospital & facility affiliations
- Adventhealth Port Charlotte
- HCA Florida Fawcett Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9102276 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
3340 Tamiami Trl
Pt Charlotte, FL 33952
Phone (941) 764-5858
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
25097 Olympia Ave
Ste 102
Punta Gorda, FL 33950
Phone (941) 237-7100
Networks
- Freedom Health HMO Network
Interoperability endpoints
- robert.henning.1@4290.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285736611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 HIDDEN BAY DR",
"address_2": "#302",
"city": "OSPREY",
"state": "FL",
"postal_code": "342299176",
"telephone_number": "941-966-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25097 OLYMPIA AVE",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503903",
"telephone_number": "941-764-5858",
"fax_number": "941-639-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNING",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9102276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.