Individual provider Active NPI

Glenn A. Henning, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hartford, KY
National Provider Identifier
1699871673
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00263 Issued in KY
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
80000136MedicaidKY
000000198311OtherBCBS PROVIDER NUMBER
00263OtherKYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050701000771 KY Practitioner - Podiatry 6002852845 Reassigns benefits to 2 organizations
I20141107000207 IN Practitioner - Podiatry 6002852845 Reassigns benefits to 3 organizations

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
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue53
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00263KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Neurology LLC Current Accepting new patients
Orthopaedics & Sports Medicine Owensboro PSC Foot & Ankle Surgery CurrentSince Aug 13, 2014 Accepting new patients
Perry County Memorial Hospital Foot & Ankle Surgery CurrentSince Oct 1, 2022 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Oct 1, 2024 Accepting new patients
Perry County Memorial Hospital Foot & Ankle Surgery CurrentSince Nov 10, 2019 Accepting new patients
Perry County Memorial Hospital CurrentSince Nov 10, 2019 Accepting new patients
Ohio County Hospital Corporation CurrentSince Oct 1, 2024 Accepting new patients
Perry County Memorial Hospital CurrentSince May 8, 2018 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.