Gerald J Henke, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000314A Issued in IN

Practice address

1543 S 7TH St
Terre Haute, IN 47802-1610

Phone

(812) 235-9980

Fax

(812) 234-7314

NPI assigned

Apr 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wabash Valley Podiatry Inc.

  • Podiatrist
  • Terre Haute, IN
  • NPI 1982744215
  NPD (past) Authorized official
• Kennedy Foot Care LLC

  • Podiatrist
  • Terre Haute, IN
  • NPI 1588737183
  NPD (past)

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1386869550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021610",
            "telephone_number": "812-235-9980",
            "fax_number": "812-234-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021610",
            "telephone_number": "812-235-9980",
            "fax_number": "812-234-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "GERALD",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000314A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "000000090292",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "351924167",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00249940A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Heck, PMHNP
• Carol J Heine, O.D.
• Peter Hellwarth
• Michael Henderson, RBT
• Rachael Dannielle Hendrickson, LMT
• Samia Henley, RBT
• Maria Hennigan
• Clayton William Hensley
• Nicole Herman, RBT
• Brianne Hernandez, RN

• Podiatrist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.