Charles Douglas Hensley, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

28377 Issued in KY

Practice address

305B Middletown Park PL Ste B
Louisville, KY 40243-2514

Phone

(502) 254-2300

Fax

(502) 254-7087

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ch4425@forefrontdermatology.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C. Douglas Hensley

  • Clinic/Center
  • Louisville, KY
  • NPI 1144405770
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1124025994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305B MIDDLETOWN PARK PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432514",
            "telephone_number": "502-254-2300",
            "fax_number": "502-254-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305B MIDDLETOWN PARK PL STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432514",
            "telephone_number": "502-254-2300",
            "fax_number": "502-254-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "CHARLES",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "28377",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "KY",
            "license": "28377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CH4425@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "305B Middletown Park Pl Ste B",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402432514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Ann C. Henry, M.D.
• Nicole Kaela Henry, MD
• Stephen L Henry, M.D.
• Susan Henry
• Kate Yocum Hensler
• Emalee Hensley
• Ericka Dawn Hensley, OTR
• Jennifer Hensley
• Regina Yvonne Hensley
• Terry G Hensley, MD

• Dermatology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.