Philip S. Henkel, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25781-020 Issued in WI

Practice address

2256 18TH St
Rice Lake, WI 54868-9537

Phone

(715) 234-7011

NPI assigned

Nov 25, 2005

Last updated

Apr 21, 2014By the provider in NPPES

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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Philip S. Henkel, M.D., S.C.

  • Pain Medicine (Anesthesiology) Physician
  • Rice Lake, WI
  • NPI 1487601274
  NPD (past) Authorized official
• Northwest Wisconsin Anesthesiologists, SC

  • Interventional Pain Medicine Physician
  • Rice Lake, WI
  • NPI 1184646051

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1992788707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 18TH ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548689537",
            "telephone_number": "715-234-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 18TH ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548689537",
            "telephone_number": "715-234-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKEL",
        "first_name": "PHILIP",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "25781-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30735300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick M Healy, MD
• Christina Marie Heddinger
• Aaron M Hendricks
• Matthew James Hendricks, LAT, ATC
• Katelyn Henk, RN, BSN
• David J Henningsen, MD
• John T Henningsen, MD
• Jacob M. Heringer, DMD
• Heritage Rice Lake Operations LLC (Heritage Manor of Rice Lake)
• Roberta L Herrick, APRN

• Anesthesiology Physician in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Anesthesiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.