James Russell Hengerer, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101032236 Issued in VA

Practice address

2321 Atherholt Rd
Suite B
Lynchburg, VA 24501-2113

Phone

(434) 947-3993

Fax

(434) 847-2941

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Central Virginia Audiology Services Inc

  • Audiologist
  • Lynchburg, VA
  • NPI 1831272103
  NPD (past)
• Central Virginia ENT Associates, Inc

  • Otolaryngology Physician
  • Lynchburg, VA
  • NPI 1952328304

  Otolaryngology

  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1790782092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 LINK RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245033217",
            "telephone_number": "434-384-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 ATHERHOLT RD",
            "address_2": "SUITE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012113",
            "telephone_number": "434-947-3993",
            "fax_number": "434-847-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENGERER",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101032236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006590896",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID #",
            "identifier": "54-04894959",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "006030",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Franklin Helvie, MD
• Cynthia Henderson, M.S., CCC-SLP
• Susan Carroll Henderson, M. ED., LPC
• Patrice Hendricks
• John L. Hendrickson, M.D.
• Joshua Aaron Hennessy, PA-C
• Ethan Daniel Henry
• Mark R Henry, PT
• Emily Nicole Herbert
• Mary Herbert, PA

• All providers in Lynchburg, VA
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.