MELINDA B HENNE (NPI# 1255438636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255438636 |
| Entity Type | Individual |
| Full Name | MELINDA B HENNE |
| Credential | MD |
| Practice Address |
14540 Old Saint Augustine Rd Ste 2503 Jacksonville FL 32258 |
| Mailing Address |
Po Box 16568 Jacksonville FL 32245-6568 |
| Practice Telephone | 9042625992 |
| Practice Fax Number | 9042625558 |
| Mailing Telephone | 9044722300 |
| Mailing Fax Number | 9044722330 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
ME131549 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020761500 | 05 | |
| FL | BCBS | K0UWU | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Tampa General Cir Fl 4, Tampa, FL 336063603 | 8132590692 |
| Street Address |
14540 OLD SAINT AUGUSTINE RD STE 2503 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154357838 | Teresa M Erb | Obstetrics & Gynecology | 836 Prudential Dr Ste 902, Jacksonville, FL 32207-8336 | 2006-06-24 |
| 1558340182 | Samuel E Brown | Obstetrics & Gynecology | 8149 Point Meadows Way, Jacksonville, FL 32256-9111 | 2006-01-12 |
| 1508859646 | Michael Davis Fox | Obstetrics & Gynecology | 7051 Southpoint Pkwy, Ste 200, Jacksonville, FL 32216-8709 | 2005-08-24 |
| 1205397940 | North Florida Reproductive Medicine, LLC | Obstetrics & Gynecology | 836 Prudential Drive, Suite 902, Jacksonville, FL 32207 | 2019-03-26 |
| 1902109481 | Marwan M. Shaykh, M.d., P.a. | Obstetrics & Gynecology | 3627 University Blvd S, Suite 450, Jacksonville, FL 32216-4230 | 2010-12-06 |
| 1538283510 | Kari Sproul Von Goeben | Obstetrics & Gynecology | 836 Prudential Dr, Suite 902, Jacksonville, FL 32207-8334 | 2007-03-16 |
| 1790713329 | Lori-linell Colby Hollins | Obstetrics & Gynecology | 8149 Point Meadows Way, Jacksonville, FL 32256-9111 | 2006-06-30 |
| 1558336909 | Bruce Irwin Rose | Obstetrics & Gynecology | 8149 Point Meadows Way, Jacksonville, FL 32256-9111 | 2006-02-21 |
| 1437139573 | Daniel M Duffy | Obstetrics & Gynecology | 836 Prudential Dr, Suite 902, Jacksonville, FL 32207-8334 | 2006-01-17 |
| 1013991587 | Reproductive Medicine Associates, P.a. | Obstetrics & Gynecology | 836 Prudential Dr, Suite 902, Jacksonville, FL 32207-8334 | 2005-11-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
Please comment or provide details below to improve the information on MELINDA B HENNE.
| 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.