Individual provider Active NPI

L Bruce Hensley, D.O.

  • Occupational Medicine Physician
  • North Canton, OH
National Provider Identifier
1457435943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
34003606 Issued in OH
Practice address
6200 Whipple Ave NW
North Canton, OH 44720-7624
Phone
(330) 966-2927
Fax
(330) 494-8627
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 34003606 OH Primary

Addresses

Primary practice location

6200 Whipple Ave NW
North Canton, OH 44720-7624

Mailing address

6200 Whipple Ave NW
North Canton, OH 44720-7624
Phone (330) 966-2927

Other identifiers 1

IdentifierTypeStateIssuer
0561628MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34003606OHMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Mercy Hospital CurrentSince Aug 11, 2015 Accepting new patients
St Vincent Charity Medical Center CurrentSince Jun 20, 2015 Accepting new patients
St Vincent Charity Medical Center CurrentSince Jun 20, 2015 Accepting new patients
Mercy Professional Care, LLC Past Accepting new patients

Locations

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

125 Canton Rd NW
Carrollton, OH 44615
Phone (330) 627-7300

2475 E 22nd St
Fl 4
Cleveland, OH 44115
Phone (216) 363-2570

650 S Prospect Ave
Hartville, OH 44632
Phone (330) 877-0781

7452 Fulton Dr NW
Massillon, OH 44646
Phone (330) 830-6110

1031 W High Ave
New Philadelphia, OH 44663
Phone (330) 365-5100

2638 Easton St NE
North Canton, OH 44721
Phone (330) 493-8580

6200 Whipple Ave NW
North Canton, OH 44720
Phone (330) 966-8884

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457435943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207624",
            "telephone_number": "330-966-2927",
            "fax_number": "330-494-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207624",
            "telephone_number": "330-966-2927",
            "fax_number": "330-494-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "L",
        "middle_name": "BRUCE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "34003606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0561628",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.