James Salwyn Henning, M.D., MHCDS

Individual provider Active NPI Anesthesiology Physician · Osterville, MA

NPI 1598835902 · NPPES record last updated Oct 18, 2018

Key facts

NPI
1598835902
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
A25982 (CA)
Practice address
113 Pond St
Osterville, MA 02655-1547
Phone
(650) 269-5666
Fax
(774) 521-3424
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A25982CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fidere Anesthesia Consultants, Inc. Anesthesiology Past
since Aug 28, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A25982 CA Yes

Addresses

Primary practice location

113 Pond St
Osterville, MA 02655-1547

Mailing address

113 Pond St
Osterville, MA 02655-1547
Phone (650) 269-5666

Other identifiers

IdentifierTypeStateIssuer
GR0042170MedicaidCA

Other providers in Osterville, MA

All providers in Osterville, MA · Anesthesiology Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.