Organization Active NPI

Henkin Neurosurgery PA

  • Specialist
  • Brandon, FL
National Provider Identifier
1295754422
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME75992 Issued in FL
Legal business name
HENKIN NEUROSURGERY PA
Practice address
1007 Professional Park Dr
Brandon, FL 33511-4886
Phone
(813) 651-3300
Fax
(813) 651-4455
NPI assigned
Jul 19, 2006
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. Philip Henkin, M.D.NPI 1972522191
Title
President
Phone
(813) 651-3300

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME75992 FL Primary

Addresses

Primary practice location

1007 Professional Park Dr
Brandon, FL 33511-4886

Mailing address

1007 Professional Park Dr
Brandon, FL 33511-4886
Phone (813) 651-3300

National Provider Directory

National Provider Directory

Locations

1007 Professional Park Dr
Brandon, FL 33511
Phone (813) 651-3300

14546 Old St Augustine Rd
Ste 409
Jacksonville, FL 32258
Phone (904) 880-6533

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1295754422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 PROFESSIONAL PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114886",
            "telephone_number": "813-651-3300",
            "fax_number": "813-651-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 PROFESSIONAL PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114886",
            "telephone_number": "813-651-3300",
            "fax_number": "813-651-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENKIN NEUROSURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "HENKIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-651-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME75992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.