Daniel Calvin Henshaw, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-239 Issued in OK

Practice address

550 W 121St St S
Glenpool, OK 74033-8677

Phone

(918) 291-5200

Fax

(918) 291-5929

NPI assigned

May 20, 2008

Last updated

Jan 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahs Oklahoma Physician Group LLC

  dba Utica Park Clinic

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1295992949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W 121ST ST S",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740338677",
            "telephone_number": "918-291-5200",
            "fax_number": "918-291-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W 121ST ST S",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740338677",
            "telephone_number": "918-291-5200",
            "fax_number": "918-291-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSHAW",
        "first_name": "DANIEL",
        "middle_name": "CALVIN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA-239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200250520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Dawn Greninger, APRN, CPNP-PC
• Colby Greuel
• Caden Samuel Hale
• Morgan Hansen
• Brenda Hayman-Hensley, PA-C
• Benjamin Holler
• Increasing Tranquility LLC
• Insight Eyecare PLLC
• Integrated Renegade, LLC
• Jamie D Jarvis, APRN

• Medical Physician Assistant in Glenpool, OK
• Providers in Glenpool, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.