DR. DONALD WILLIAM HENLINE M.D. - NPI 1356326870 - Orthopaedic Surgery in Everett, WA

Q: What is Donald Henline's NPI number?

The NPI number for Donald Henline is 1356326870. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Donald Henline's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Donald Henline was last updated on May 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Donald William Henline M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONALD WILLIAM HENLINE M.D. (NPI 1356326870) is an individual sports medicine provider in Everett, Washington, licensed in Washington (MD60464124) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356326870

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. DONALD WILLIAM HENLINECredential: M.D.

Location Address3726 BROADWAY STE 201Everett, WA 98201-3788

Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 747-8455

Phone(425) 317-9119

Sole ProprietorNo

Enumeration DateDecember 7, 2005

Last NPPES UpdateMay 3, 2018

✔ NPI 1356326870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in WA · MD60464124✔ Licensed in NY · 204678

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

3726 BROADWAY STE 201, Everett, WA 98201

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Secondary Practice Locations 2

Location 11321 Colby AveEverett, WA 98201-1665 · Phone (425) 261-2000

Location 2600 Westage Business Ctr DrFishkill, NY 12524-2281 · Phone (845) 231-5600 · Fax (845) 231-5489

Other Identifiers 1

Medicaid01789353NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donald William Henline M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JAMES OLIVER

Physician Assistant