Organization Active NPI

W D Henceroth DO Inc

  • Family Medicine Physician
  • Grove City, OH
National Provider Identifier
1295700730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
402712 Issued in OH
Legal business name
W D HENCEROTH DO INC
Practice address
3774 Broadway
Grove City, OH 43123-2235
Phone
(614) 875-6349
Fax
(614) 875-3633
NPI assigned
Feb 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy A Henceroth Gatto, D.ONPI 1164497335
Title
President
Phone
(614) 875-6349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 402712 OH Primary

Addresses

Primary practice location

3774 Broadway
Grove City, OH 43123-2235

Mailing address

3774 Broadway
Grove City, OH 43123-2235
Phone (614) 875-6349

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295700730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232235",
            "telephone_number": "614-875-6349",
            "fax_number": "614-875-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3774 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232235",
            "telephone_number": "614-875-6349",
            "fax_number": "614-875-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W D HENCEROTH DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENCEROTH GATTO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-875-6349",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "402712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.