Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1407902497 Deactivated / Inactive NPI Male Practitioner

John W Henrickson

Specialist • Honolulu, HI

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Henrickson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 25, 2007
NPI Deactivation Date June 19, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

John Henrickson was a registered Specialist practicing in Honolulu, HI. Throughout an active medical career spanning 11 years, John Henrickson provided care at the practice location at 1329 LUSITANA ST until profile deactivation on 2018-06-19.

Practice Location & Contact Primary Location

Practice Address

1329 Lusitana St
Suite 301

Honolulu, HI 968132429

Telephone 8085365218
Fax 8085365437
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Honolulu, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.8 Yrs
State Avg: 39.2 Yrs
Regional Practice Density
176 Specialists

Practicing in Honolulu, HI (383 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License HI 03365

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Anthony Mauro , MD

Psychiatry & Neurology - Clinical Neurophysiology

NPI 1043277080

Doctor of Medicine (M.D.)

NPI 1053410555

Doctor of Medicine (M.D.)

Dr. John Deboard , MD

Internal Medicine

NPI 1063572352

Doctor of Medicine (M.D.)

Dr. Grace Wong , MD

Obstetrics & Gynecology

NPI 1073521837

Doctor of Medicine (M.D.)

NPI 1083676795

Doctor of Medicine (M.D.)

NPI 1083787493

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 19, 2018

Record deactivated on June 19, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1329 LUSITANA ST, SUITE 301, HONOLULU, HI 968132429 (Tel: 8085365218)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1329 LUSITANA ST, SUITE 301, HONOLULU, HI 968132429 (Tel: 8085365218)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN HENRICKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #03365 in HI)

🟢
Initial NPI Registration & Enumeration January 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for John Henrickson. Be the first to share your experience!

Sign in to leave a review for John Henrickson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1407902497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2007
Last Update: July 08, 2007
Deactivation Date: June 19, 2018

Mailing Address

1329 Lusitana St, Suite 301

Honolulu, HI 968132429

Phone: 8085365218

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.