Robert Henry, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C50000399 Issued in DE

Practice address

24459 Sussex Hwy
Seaford, DE 19973-4433

Phone

(302) 629-3099

Fax

(302) 629-6059

NPI assigned

Jan 10, 2006

Last updated

Oct 11, 2016By 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

Enrolled in DE, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ambient Medical Care, LLCGroup PAC ID 3577639640, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ambient Medical Care, LLC

  dba Ambient Care

  • Urgent Care Clinic/Center
  • Seaford, DE
  • NPI 1053583559
  Medicare reassignment Care Compare group NPD Authorized official
• Ambient Medical Care, LLC

  • Urgent Care Clinic/Center
  • Richmond, VA
  • NPI 1447947031
  Medicare reassignment NPD Authorized official
• Sussex Emergency Associates LLC

  • Emergency Medicine Physician
  • Lewes, DE
  • NPI 1275512105
  Medicare reassignment
• Ambient Care Express

  • Urgent Care Clinic/Center
  • Delmar, DE
  • NPI 1649620618
  Authorized official Same address or phone
• Ambient Care Express Milford

  dba Ambient Virtual Care

  • Urgent Care Clinic/Center
  • Milford, DE
  • NPI 1184179277
  Authorized official Same address or phone
• Ambient Medical Care, LLC

  dba Ambient Care Express

  • Urgent Care Clinic/Center
  • Harrington, DE
  • NPI 1063864080
  Authorized official Same address or phone
• Ambient Medical Care, LLC

  dba Ambient Primary Care

  • Primary Care Clinic/Center
  • Milford, DE
  • NPI 1932020104
  Authorized official Same address or phone
• Ambient Medical Care LLC

  dba Ambient Virtual Care

  • Urgent Care Clinic/Center
  • Salisbury, MD
  • NPI 1811433394
  Authorized official Same address or phone
• Delmar Emergency Specialists PA

  • Emergency Medicine Physician
  • Elkton, MD
  • NPI 1851361224
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Sussex Campus

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Tidalhealth Nanticoke, Inc

  • General Acute Care Hospital
  • Seaford, DE
  • NPI 1245214477
  Care Compare affiliation

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1437138351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24459 SUSSEX HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199734433",
            "telephone_number": "302-629-3099",
            "fax_number": "302-629-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24459 SUSSEX HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199734433",
            "telephone_number": "302-629-3099",
            "fax_number": "302-629-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ROBERT",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C50000399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437138351",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartwood Corportion
• Christopher M. Heisey, D.P.M
• Henlopen Cardiology PA
• Maria D Henriquez, MD
• Helene Yolanda Henry, APRN-BC
• Ivonne Herrera, MD
• Danniell Kristen Hicks, FNP-C
• Janice B. Hilley, CRNP
• Karen Hillmantel
• Hinds Counseling Services LLC

• Physician Assistant in Seaford, DE
• Providers in Seaford, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.