Active NPI
David Lynn Hockensmith, M.D.
- Internal Medicine Physician
- Louisville, KY
National Provider Identifier
1285716522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 38475
- Practice address
- 105 Crescent Ave
Louisville, KY 40206-1525 - Phone
- (502) 327-9100
- Fax
- (502) 742-3767
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01059128A | IN | |
| Internal Medicine Physician | 207R00000X | 38475 | KY | Primary |
Addresses
Primary practice location
105 Crescent Ave
Louisville, KY 40206-1525
Mailing address
105 Crescent Ave
Louisville, KY 40206-1525
Phone (502) 327-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01059128A | IN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1285716522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CRESCENT AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061525",
"telephone_number": "502-327-9100",
"fax_number": "502-742-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CRESCENT AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061525",
"telephone_number": "502-327-9100",
"fax_number": "502-742-3767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKENSMITH",
"first_name": "DAVID",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01059128A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "38475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.