Active NPI
Glenn A. Henning, DPM
- Foot & Ankle Surgery Podiatrist
- Hartford, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00263
- Practice address
- 1215 Old Main St
Hartford, KY 42347-1619 - Phone
- (270) 730-5344
- Fax
- (270) 298-9506
- NPI assigned
- Sep 16, 2006
- Last updated
- Oct 22, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00263 | KY | Primary |
Addresses
Primary practice location
1215 Old Main St
Hartford, KY 42347-1619
Mailing address
PO Box 148
Hartford, KY 42347-0148
Phone (270) 504-1910
Other practice location 1
3500 Villa Pt
Owensboro, KY 42303-7825
Phone (270) 688-0059
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80000136 | Medicaid | KY | |
| 000000198311 | Other | BCBS PROVIDER NUMBER | |
| 00263 | Other | KY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Old Main St
Hartford, KY 42347-1619
Phone 27029854015401
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 37 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 53 |
| Removal or shaving of skin growth | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00263 | KY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Neurology LLC | Current | Accepting new patients | |
| Orthopaedics & Sports Medicine Owensboro PSC | Foot & Ankle Surgery | Current | Accepting new patients |
| Perry County Memorial Hospital | Foot & Ankle Surgery | Current | Accepting new patients |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Perry County Memorial Hospital | Foot & Ankle Surgery | Current | Accepting new patients |
| Perry County Memorial Hospital | Current | Accepting new patients | |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Perry County Memorial Hospital | Current | Accepting new patients | |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Ohio County Hospital Corporation | Past | Accepting new patients | |
| Ohio County Hospital Corporation | Past | Accepting new patients | |
| Ohio County Hospital Corporation | Past | Accepting new patients |
Locations
1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500
109 US Highway 66 E
Tell City, IN 47586
Phone (812) 547-3447
148 13th St
Tell City, IN 47586
Phone (812) 547-0333
148 13th St
Ste B
Tell City, IN 47586
Phone (812) 547-0333
8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185
1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806
1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401
20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
2780 Frederica St
Owensboro, KY 42301
Phone (270) 926-4100
2831 New Hartford Rd
Owensboro, KY 42303
Phone (270) 926-2131
Interoperability endpoints
- ghenn@osmo1976.srs-direct.com
Organizations & group practices 14
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 Ohio County Surgical Care
- Surgery Physician
- Hartford, KY
- NPI 1407049000
-
dba Advanced Center for Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Owensboro, KY
- NPI 1033210828
Foot & Ankle Surgery, IN
-
dba PCMH Orthopedic Center
- Orthopaedic Surgery Physician
- Tell City, IN
- NPI 1184348484
Foot & Ankle Surgery
-
dba PCMH Provider Clinics
- General Practice Physician
- Tell City, IN
- NPI 1629621396
Foot & Ankle Surgery
-
dba Ohio County Hospital PS
- Emergency Medicine Physician
- Hartford, KY
- NPI 1386764678
-
dba Ohio County Healthcare Gastroenterology
- Gastroenterology Physician
- Owensboro, KY
- NPI 1437961828
-
dba Ohio County Audiology Services
- Audiologist
- Hartford, KY
- NPI 1821727660
-
dba Ohio County Pathology Services
- Clinical Pathology Physician
- Hartford, KY
- NPI 1992565956
-
- Neurology Physician
- Madisonville, KY
- NPI 1023005394
-
dba Main Street Clinic
- Nurse Practitioner
- Tell City, IN
- NPI 1740151489
-
dba 13th Street Clinic
- Rural Health Clinic/Center
- Tell City, IN
- NPI 1922393768
-
dba Ohio County Villa Point Rehab
- Physical Therapist
- Owensboro, KY
- NPI 1194671800
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Deaconess Madisonville
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
-
- Critical Access Hospital
- Hartford, KY
- NPI 1629007430
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1699871673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 148",
"city": "HARTFORD",
"state": "KY",
"postal_code": "423470148",
"telephone_number": "270-504-1910",
"fax_number": "270-298-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 OLD MAIN ST",
"city": "HARTFORD",
"state": "KY",
"postal_code": "423471619",
"telephone_number": "270-730-5344",
"fax_number": "270-298-9506"
}
],
"practiceLocations": [
{
"address_1": "3500 Villa Pt",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423037825",
"country_code": "US",
"telephone_number": "270-688-0059",
"fax_number": "270-298-9506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENNING",
"first_name": "GLENN",
"middle_name": "A.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "00263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80000136",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "000000198311",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "00263",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.