Active NPI
Ross Hensley, M.D.
- Dermatology Physician
- Lawton, OK
National Provider Identifier
1609879899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9997
- Practice address
- 4417 W Gore Blvd
Ste 7
Lawton, OK 73505-5978 - Phone
- (580) 248-7500
- Fax
- (580) 355-2356
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9997 | OK | Primary |
Addresses
Primary practice location
4417 W Gore Blvd
Ste 7
Lawton, OK 73505-5978
Mailing address
4417 W Gore Blvd
Ste 7
Lawton, OK 73505-5978
Phone (580) 248-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100817001008 | OK | Practitioner - Dermatology | 1951435668 | Practice locations: Lawton, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Oklahoma College of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4417 W Gore Blvd
Suite 7
Lawton, OK 73505-5978
Phone (580) 248-7500
Hospital & facility affiliations
- Memorial Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 2240 |
| Removal or shaving of skin growth | 371 |
| Skin biopsy | 255 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ross C Hensley M. D., Inc. | Dermatology | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
4417 W Gore Blvd
Ste 7
Lawton, OK 73505
Phone (405) 243-7500
Organizations & group practices 2
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.
-
- Dermatology Physician
- Lawton, OK
- NPI 1124543145
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1609879899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4417 W GORE BLVD",
"address_2": "STE 7",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055978",
"telephone_number": "580-248-7500",
"fax_number": "580-355-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 W GORE BLVD",
"address_2": "STE 7",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055978",
"telephone_number": "580-248-7500",
"fax_number": "580-355-2356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSLEY",
"first_name": "ROSS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OK",
"license": "9997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.
- 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.