Frederic Alan Henney, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01030491 Issued in IN

Practice address

810 S 6TH St
Suite D
Monticello, IN 47960-8201

Phone

(574) 583-6446

Fax

(574) 583-3060

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Indiana University Health White Memorial Hospital Inc

  • Critical Access Hospital
  • Monticello, IN
  • NPI 1710983945
  Medicare reassignment NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1376566265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S 6TH ST",
            "address_2": "SUITE D",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608201",
            "telephone_number": "574-583-6446",
            "fax_number": "574-583-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S 6TH ST",
            "address_2": "SUITE D",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608201",
            "telephone_number": "574-583-6446",
            "fax_number": "574-583-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEY",
        "first_name": "FREDERIC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01030491",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01030491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080004174",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100079510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Hancock, M.D.
• Pamela Hanway, MSOTR
• Haupert Consulting LLC
• Debra Eloise Haworth, P.T.
• Phillip Augustine Henady, D.C.
• Natalie Lynn Hodgen, PTA
• Suzanne F Holmes, LCSW
• Hook-Superx LLC
• Hoosier E M S Inc.
• Hoosier EMS Wheelchair Transportation Inc

• Family Medicine Physician in Monticello, IN
• Providers in Monticello, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.