Individual provider Active NPI

Steven Henderson

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1942802095
Registry record updated Sep 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114221 Issued in FL
Practice address
303 West Palm Avenue
Tampa, FL 33602
Phone
(813) 925-1903
NPI assigned
Nov 13, 2020
Last updated
Sep 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114221 FL Primary
Physician Assistant 363A00000X 0110-007536 VA

Addresses

Primary practice location

303 West Palm Avenue
Tampa, FL 33602

Mailing address

109 W Fortune St
Tampa, FL 33602-3201
Phone (240) 305-5114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427001581 FL Practitioner - Physician Assistant 7012325319 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians
Suncoast Urgent Care Centers LLCGroup PAC ID 5991878316, 10 clinicians

Practice addresses (Care Compare)

10500 Ulmerton Rd
Suite 202
Largo, FL 33771-3544
Phone (727) 518-2273

10730 State Rd
New Port Richey, FL 34655-2265
Phone (727) 372-3888

10943 Causeway Blvd
Brandon, FL 33511-1997
Phone (813) 736-1488

1120 Homestead Rd N
Lehigh Acres, FL 33936-6044
Phone (239) 303-5020

13610 Bruce B Downs Blvd
Tampa, FL 33613-4650
Phone (813) 977-2777

1838 Rye Rd
Suite 107
Bradenton, FL 34212-9038
Phone (941) 462-2004

2102 S Dale Mabry Hwy
Tampa, FL 33629-6335
Phone (813) 798-1499

2200 Tamiami TRL
Port Charlotte, FL 33948-2177
Phone (941) 613-0022

3030 4TH St N
Saint Petersburg, FL 33704-2105
Phone (727) 610-3660

313 SW Pine Island Rd
Cape Coral, FL 33991-2043
Phone (239) 458-6755

34621 US Hwy 19 N
Palm Harbor, FL 34684-2152
Phone (727) 953-9888

408 E Brandon Blvd
Brandon, FL 33511-5318
Phone (813) 681-5571

4112 Mariner Blvd
Spring Hill, FL 34609-2468
Phone (352) 684-3288

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

5616 Tuscola Blvd
North Port, FL 34287-2738
Phone (941) 240-6273

7321 Park Blvd N
Pinellas Park, FL 33781-2922
Phone (727) 306-1844

7337 University Pkwy
Lakewood Ranch, FL 34202-2300
Phone (941) 212-2445

8849 State Rd
Suite 52
Hudson, FL 34667-6742
Phone (727) 863-7150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9114221FLMDPhysician Assistant
0110-007536VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC CurrentSince Apr 16, 2023 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Apr 16, 2023 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
MD Now Medical Centers Inc CurrentSince Apr 15, 2024 Accepting new patients
West Florida Medical Associates P a Physician Assistant CurrentSince Mar 19, 2021 Accepting new patients
West Florida Medical Associates, PA Physician Assistant CurrentSince Mar 19, 2021 Accepting new patients
Virginia Spine Institute PLC PastSince Nov 1, 2020 Accepting new patients

Locations

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

303 W Palm Ave
Tampa, FL 33602

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1942802095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W FORTUNE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023201",
            "telephone_number": "240-305-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WEST PALM AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33602",
            "telephone_number": "813-925-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114221",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-007536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.