Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan P Hentkowski, PA-C

Individual provider Physician Assistant · NPI 1932517166

Ryan P Hentkowski, PA-C is a Physician Assistant in St Augustine, Florida. Qualified in 2014, 12 years ago. Practices with Southeast Orthopedic Specialists LLC, a 145-clinician group and works from 12 locations. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

45 Groover Loop Ste 201
St Augustine, FL 32086-6586
Phone: (904) 634-0640
Fax: (904) 634-0203
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (11)

  • 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 — (904) 634-0640
  • 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4717 — (904) 634-0640
  • 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 — (904) 634-0640
  • 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL 32218-7274 — (904) 634-0640
  • 4268 Oldfield Crossing Dr Ste 201, Jacksonville, FL 32223-8800 — (904) 634-0640
  • 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 — (904) 634-0640
  • 1658 St Vincents Way, Middleburg, FL 32068-8446 — (904) 634-0640
  • 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 — (904) 634-0640
  • 1690 Us Highway 1 S Ste F, St Augustine, FL 32084-6024 — (904) 634-0640
  • 216 Southpark Cir E Ste 216, St Augustine, FL 32086-5135 — (904) 634-0640
  • 3055 County Road 210 W Ste 110, St Johns, FL 32259-7001 — (904) 634-0640

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108073 (FL)
Physician Assistant Taxonomy 363A00000X (FL)

Record details

NPI number1932517166
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 31, 2014
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southeast Orthopedic Specialists Llc — 145 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

Other providers in St Augustine