Henghold Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HENGHOLD SURGERY CENTER LLC

Practice address

530 Fontaine St
Pensacola, FL 32503-2019

Phone

(850) 474-4775

Fax

(850) 484-8223

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. William B Henghold II, M.D.

Title

Physician/Owner

Phone

(850) 474-4775

Specialties & licenses 1

Addresses

Listed as

Henghold Surgery Center LLCCCN 10C0001585

Medicare certification status

Terminated Voluntary: merger or closure, May 12, 2023From the Provider of Services file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1760724314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FONTAINE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032019",
            "telephone_number": "850-474-4775",
            "fax_number": "850-484-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FONTAINE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032019",
            "telephone_number": "850-474-4775",
            "fax_number": "850-484-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENGHOLD SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "HENGHOLD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "850-474-4775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Marie Hendrickson, MD
• Amber Michelle Hendrix, MSW
• Patricia Lynn Hendrix, ARNP
• Stepehn L Hendrix, M.D.
• Kendall James Hendry
• William B Henghold II, MD
• Carmella Henley
• Nicole Henn, LBA, BCBA
• Cheri N Hennessey, RPH
• Henry Chiropractic PLLC

• Ambulatory Surgical Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.