Active NPI
Rosanne Marie Henry, M.D.
- Obstetrics & Gynecology Physician
- Port St John, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME127424
- Practice address
- 5005 Port St John Pkwy Ste 2300
Port St John, FL 32927-4305 - Phone
- (321) 633-8663
- Fax
- (321) 633-8618
- NPI assigned
- Mar 28, 2012
- Last updated
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME127424 | FL | Primary |
Addresses
Primary practice location
5005 Port St John Pkwy Ste 2300
Port St John, FL 32927-4305
Mailing address
805 Century Medical Dr Ste C
Titusville, FL 32796-2100
Phone (321) 268-6264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017624200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Miami, LM Miller School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2078 Winter Springs Blvd
Oviedo, FL 32765-9347
Phone (407) 453-2072
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Florida Woman Care, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| North Brevard Medical Support, Inc | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients | |
| Central Florida Vascular Center, PA | Past | Accepting new patients | |
| North Brevard Medical Support, Inc | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
10000 W Colonial Dr
Ste 387
Ocoee, FL 34761
Phone (407) 389-5443
3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 487-2167
3722 Avalon Park East Blvd
Orlando, FL 32828
Phone (407) 453-2072
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281
2078 Winter Springs Blvd
Oviedo, FL 32765
Phone (407) 453-2072
3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200
5005 Port St John Pkwy
Ste 2300
Port St John, FL 32927
Phone (321) 504-1181
1133 Seminole Dr
Rockledge, FL 32955
Phone (321) 637-2975
8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388
805 Century Medical Dr
Ste C
Titusville, FL 32796
Phone (321) 268-6264
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
13001 State Road 80
Westlake, FL 33470
Phone (561) 784-3127
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- rosanne.henry.1@2183.direct.athenahealth.com
Organizations & group practices 11
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.
-
dba Parrish Medical Group
- Multi-Specialty Clinic/Center
- Titusville, FL
- NPI 1609834886
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Obstetrics & Gynecology Physician
- Trinity, FL
- NPI 1952122178
-
- Diagnostic Ultrasound Physician
- Melbourne, FL
- NPI 1972073716
-
dba Lumina Vein & Aesthetic Institute
- Vascular Surgery Physician
- Windermere, FL
- NPI 1396304960
-
- Gastroenterology Physician
- Port St John, FL
- NPI 1396419032
-
dba Stewart Medical Group
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1508132085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 CENTURY MEDICAL DR STE C",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962100",
"telephone_number": "321-268-6264",
"fax_number": "321-268-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 PORT ST JOHN PKWY STE 2300",
"city": "PORT ST JOHN",
"state": "FL",
"postal_code": "329274305",
"telephone_number": "321-633-8663",
"fax_number": "321-633-8618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ROSANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME127424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017624200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port St John, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.