KENNETH HENTSCHEL DO, PHD – NPI #1164405460
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

KENNETH HENTSCHEL is a psychiatry & neurologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1164405460 to KENNETH HENTSCHEL on November 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 7 years ago on Jul 29, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH HENTSCHEL below.

NPI Profile for
KENNETH HENTSCHEL

NPI Number
1164405460
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH HENTSCHEL
Credentials
DO, PHD
Primary location
4205 BELFORT RD STE 1100
JACKSONVILLE, FL 32216-5876
Phone: (904) 450-6300 Fax: (904) 281-5866
Mailing address
3 SHIRCLIFF WAY
SUITE 724
JACKSONVILLE, FL 32204-4786
Phone: (904) 308-7959 Fax: (904) 308-7938
Sole Proprietor
No
Updated
Identifiers

Identifiers for KENNETH HENTSCHEL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL2757087-00
MEDICAIDFL275708700
MEDICAIDGA212536998A
MEDICAIDGA212536998B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)		 GA 057817
2084N0600X
- Psychiatry & Neurology / Clinical Neurophysiology		 FL OS8644
204R00000X
- Electrodiagnostic Medicine		 FL OS8644

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 2000
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KENNETH HENTSCHEL is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION ST VINCENT'S CLAY COUNTY
      1670 ST VINCENTS WAY
      MIDDLEBURG, FL 32068
    • ASCENSION ST VINCENT'S RIVERSIDE
      1 SHIRCLIFF WAY
      JACKSONVILLE, FL 32204
    • ASCENSION ST VINCENT'S SOUTHSIDE
      4201 BELFORT RD
      JACKSONVILLE, FL 32216
    • BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE
      800 PRUDENTIAL DR
      JACKSONVILLE, FL 32207

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.