Individual provider Active NPI

Rosanne Marie Henry, M.D.

  • Obstetrics & Gynecology Physician
  • Port St John, FL
National Provider Identifier
1508132085
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME127424 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
017624200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718002041 FL Practitioner - Obstetrics/Gynecology 4183917891 Reassigns benefits to 5 organizations

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
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

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

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Aug 31, 2023 Accepting new patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Sep 4, 2018 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Mar 5, 2025 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Mar 5, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2023 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 PastSince Aug 8, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.