DR. TIMOTHY JAMES HENNE (NPI# 1215962709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215962709 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JAMES HENNE |
| Credential | D.P.M. |
| Practice Address |
3150 Citrus Tower Blvd Suite B Clermont FL 34711-6802 |
| Mailing Address |
3190 Citrus Tower Blvd Ste A Clermont FL 34711-6886 |
| Practice Telephone | 3522422502 |
| Practice Fax Number | 3522420316 |
| Mailing Telephone | 3522422502 |
| Mailing Fax Number | 3522420316 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3047 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340361100 | 05 | |
| FL | BC/BS | 65802 | 01 |
| FL | RAILROAD MEDICARE | P00071261 | 01 |
| FL | CIGNA | 043604213 | 01 |
| FL | TRICARE | 043604213 | 01 |
| FL | PALMETTO GBA | 4690780001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730125428 | Timothy D Henne | Orthopaedic Surgery | 350 Lafayette Ave Se, 5th Floor, Grand Rapids, MI 49503-4656 | 2006-06-21 |
| Street Address |
3150 CITRUS TOWER BLVD SUITE B |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336313550 | South Lake Cardiology, LLC | Internal Medicine | 3150 Citrus Tower Blvd, Building 13, Suite B, Clermont, FL 34711-6802 | 2008-04-18 |
| 1811032212 | Center for Ankle & Foot Care Inc | Podiatrist | 3150 Citrus Tower Blvd, Suite B, Clermont, FL 34711-6802 | 2007-02-21 |
| 1053330589 | Michele Mcgowan | Podiatrist | 3150 Citrus Tower Blvd, Suite B, Clermont, FL 34711 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770088965 | Tyler Cole Floyd | Podiatrist | 235 Citrus Tower Blvd Ste 103, Clermont, FL 34711-2711 | 2018-03-28 |
| 1851788418 | Orlando Foot and Ankle Clinic, Inc | Podiatrist | 3650 S Highway 27, Clermont, FL 34711-6736 | 2015-04-22 |
| 1669446613 | Anthony D Saranita | Podiatrist | 1381 Citrus Tower Blvd, Ste 103, Clermont, FL 34711-1957 | 2006-02-15 |
| 1952943193 | Magnolia Foot Care, LLC | Podiatrist | 235 Citrus Tower Blvd Ste 103, Clermont, FL 34711-2711 | 2019-10-09 |
| 1811032212 | Center for Ankle & Foot Care Inc | Podiatrist | 3150 Citrus Tower Blvd, Suite B, Clermont, FL 34711-6802 | 2007-02-21 |
| 1053420836 | Orlando Foot and Ankle Clinic Inc | Podiatrist | 1381 Citrus Tower Blvd, Ste 103, Clermont, FL 34711 | 2006-08-29 |
| 1053330589 | Michele Mcgowan | Podiatrist | 3150 Citrus Tower Blvd, Suite B, Clermont, FL 34711 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.