Michael W Hennigan, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME0064533 Issued in FL

Practice address

1847 Florida Ave
Panama City, FL 32405-4640

Phone

(850) 914-8660

Fax

(850) 914-6036

NPI assigned

Aug 19, 2005

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 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Michael W. Hennigan, P.a.

  • Specialist
  • Panama City, FL
  • NPI 1134391857
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1427040906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 FLORIDA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054640",
            "telephone_number": "850-914-8660",
            "fax_number": "850-914-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 FLORIDA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054640",
            "telephone_number": "850-914-8660",
            "fax_number": "850-914-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME0064533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374247400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Helm, NP
• Christopher R Helou-Decos, MS, BS, AT, MT, MMP
• Helping Hands Counseling and Interpreting, LLC
• Jeromy Earnest Henderson, PTA
• Kimberly Elaine Henderson
• Claire M Henninger, RD, LD
• Cherilyn Armstrong Henry, M.S., CCC-SLP
• Ashley Hensley, PA-C
• Dale R Heppe, LMHC
• Herb G. Salisbury, PA

• Physical Medicine & Rehabilitation Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.