Stephen Gerard Henke, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

51150 Issued in CO

Practice address

1304 S College Ave Ste 5
Fort Collins, CO 80524-4114

Phone

(970) 482-0549

Fax

(970) 493-1192

NPI assigned

May 30, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 28, 2012 through Nov 28, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1285995811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 S COLLEGE AVE STE 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244114",
            "telephone_number": "970-482-0549",
            "fax_number": "970-493-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 S COLLEGE AVE STE 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244114",
            "telephone_number": "970-482-0549",
            "fax_number": "970-493-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "STEPHEN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "51150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D Hendrick, MD
• Jennifer M Hendrick, MD
• Debra Michelle Hendricks, LMT, C.N.A, AAS
• Jacqueline Suzanne Hendrickson
• Susan D Hendrickson, LCSW
• Evelyn Henning
• Meaghan Hennings, LCSW
• Cassandra Lee Henry
• Craig Henry, B.O.C.O., B.O.C.PED
• Devin Henry, , MACP, ADDC

• Family Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.