Active NPI
L Bruce Hensley, D.O.
- Occupational Medicine Physician
- North Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 34003606
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0561628 | Medicaid | OH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003606 | OH | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| St Vincent Charity Medical Center | Current | Accepting new patients | |
| St Vincent Charity Medical Center | Current | 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.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cleveland, OH
- NPI 1164131777
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1902529985
-
- Internal Medicine Physician
- Canton, OH
- NPI 1902827876
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.