Loren Ann Hensley, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS12462 Issued in FL

Practice address

26907 Foggy Creek Rd Ste 102
Wesley Chapel, FL 33544

Phone

(813) 501-4468

Fax

(813) 501-8620

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Loren Ann Dominguez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Hensley Medical Group PLLC

  • Internal Medicine Physician
  • Wesley Chapel, FL
  • NPI 1043731904
  NPD (past) Authorized official
• Dwic of Tampa Bay, Inc

  • Urgent Care Clinic/Center
  • Hudson, FL
  • NPI 1598132490
  NPD (past)
• Medexpress Urgent Care PLLC-Morgantown

  • Urgent Care Clinic/Center
  • Morgantown, WV
  • NPI 1235138280
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1316902505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26907 FOGGY CREEK RD STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446778",
            "telephone_number": "813-501-4468",
            "fax_number": "813-501-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26907 FOGGY CREEK RD STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33544",
            "telephone_number": "813-501-4468",
            "fax_number": "813-501-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 12th Street Ext",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402300",
            "country_code": "US",
            "telephone_number": "304-487-0232",
            "fax_number": "304-487-0285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "LOREN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "1933",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1812206000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOREN",
            "last_name": "DOMINGUEZ",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Louis Heitzler, PTA
• Kristian Alane Hem, DNP, CRNA
• Nicole Henao
• Ryan Glenn Henry, PHD, LMFT
• Hensley Medical Group PLLC
• Eduardo J Hernandez Cardona, M.D.
• Ammy Hernandez Puyalena, RBT
• Anicia Lynn Hernandez
• Annie Maria Hernandez, AU.D.
• Emely Hernandez

• Internal Medicine Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.