Active NPI
Steven Henderson
- Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9114221
- Practice address
- 303 West Palm Avenue
Tampa, FL 33602 - Phone
- (813) 925-1903
- NPI assigned
- Nov 13, 2020
- Last updated
- Sep 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9114221 | FL | MD | Physician Assistant |
| 0110-007536 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| West Florida Medical Associates P a | Physician Assistant | Current | Accepting new patients |
| West Florida Medical Associates, PA | Physician Assistant | Current | Accepting new patients |
| Virginia Spine Institute PLC | Past | 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.
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
dba Suncoast Urgent Care
- Urgent Care Clinic/Center
- Spring Hill, FL
- NPI 1780890053
-
- Internal Medicine Physician
- Beverly Hills, FL
- NPI 1265515001
Physician Assistant
-
- Family Medicine Physician
- Beverly Hills, FL
- NPI 1417340654
-
dba Fast Track Urgent Care Center
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1063718013
-
dba MD Now Urgent Care
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
-
dba Fast Track Urgent Care Center
- General Practice Physician
- Tampa, FL
- NPI 1093233967
-
- Urgent Care Clinic/Center
- Punta Gorda, FL
- NPI 1174336119
-
dba Fast Track Urgent Care Center
- General Practice Physician
- Wesley Chapel, FL
- NPI 1194198382
-
dba Comprehensive Primary Care
- Family Medicine Physician
- Inverness, FL
- NPI 1770724130
Physician Assistant
-
- Orthopaedic Surgery of the Spine Physician
- Reston, VA
- NPI 1356435580
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.