Active NPI
W D Henceroth DO Inc
- Family Medicine Physician
- Grove City, OH
National Provider Identifier
1295700730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 402712
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy A Henceroth Gatto, D.O
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Grove City, OH
- NPI 1164497335
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.