Jared R Henninger, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA052424 Issued in PA

Practice address

540 N Duke St
Suite 110
Lancaster, PA 17602-2374

Phone

(717) 544-4995

NPI assigned

Jun 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1811933955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N DUKE ST",
            "address_2": "SUITE 110",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022374",
            "telephone_number": "717-544-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N DUKE ST",
            "address_2": "SUITE 110",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022374",
            "telephone_number": "717-544-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGER",
        "first_name": "JARED",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A Hendrix, RN
• Matthew Weston Henly, DC
• Kaitlyn Hennessy
• Alison A Hennesy, CRNP
• Kara S Henning, CCC/SLP
• Matthew Thomas Henny, D.D.S.
• Daniel Pearson Henrichsen, DMD
• Gail Kathleen Henry-Ruhl, RD
• Christine Ashlena Henry
• Dolores Ann Henry, RPH

• Surgical Physician Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.