Organization Active NPI

Avon Pediatrics PC

  • Pediatrics Physician
  • Avon, IN
National Provider Identifier
1275747313
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01044494 Issued in IN
Legal business name
AVON PEDIATRICS PC
Practice address
7376 Business Center Dr
Suite a
Avon, IN 46123-8662
Phone
(317) 272-7887
Fax
(317) 272-7888
NPI assigned
May 9, 2007
Last updated
Dec 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Kerry L Hensley, M.D.NPI 1174610562
Title
Owner
Phone
(317) 272-7887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 01044494 IN Primary

Addresses

Primary practice location

7376 Business Center Dr
Suite a
Avon, IN 46123-8662

Mailing address

7376 Business Center Dr
Suite a
Avon, IN 46123-8662
Phone (317) 272-7887

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0996179Avon Pediatrics PC7376 Business Center Dri Ste a, Avon, IN 46123Certificate of waiverFeb 11, 2028

National Provider Directory

National Provider Directory

Locations

7376 Business Center Dr
Avon, IN 46123
Phone (317) 272-7887

7376 Business Center Dr
#A
Avon, IN 46123
Phone (317) 272-7887

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1275747313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7376 BUSINESS CENTER DR",
            "address_2": "SUITE A",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238662",
            "telephone_number": "317-272-7887",
            "fax_number": "317-272-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7376 BUSINESS CENTER DR",
            "address_2": "SUITE A",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238662",
            "telephone_number": "317-272-7887",
            "fax_number": "317-272-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-272-7887",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01044494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.