C. Douglas Hensley

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

28377 Issued in KY

Legal business name

C. DOUGLAS HENSLEY

Doing business as

Louisville Skin and Cancer

Practice address

305B Middletown Park PL
Louisville, KY 40243-2514

Phone

(502) 254-2300

Fax

(502) 254-7087

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles Douglas HensleyNPI 1124025994

Title

Owner

Phone

(502) 254-2300

Specialties & licenses 1

Addresses

Other names 1

• LOUISVILLE SKIN AND CANCER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Douglas Hensley, MD

  • Dermatology Physician
  • Louisville, KY
  • NPI 1124025994
  NPD (past) Authorized official

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1144405770",
    "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",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432514",
            "telephone_number": "502-254-2300",
            "fax_number": "502-254-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. DOUGLAS HENSLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-254-2300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "28377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUISVILLE SKIN AND CANCER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Byron Nelson PLLC
• Henry B Byrum Jr., MD
• Anne Bystrek
• C & D Behavioral Health PLLC (C & D Behavioral Health)
• C W Brown Transportation Services
• C&M Medical Solutions
• Gretel Caballero
• Morgan K Caballero, APRN
• Allison Blair Caballeros, LCSW
• Kimberly Caballeros

• Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.