Individual provider Active NPI

Scott Edward Hockenberry, MD

  • Surgery Physician
  • Columbus, OH
National Provider Identifier
1821079096
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35066676 Issued in OH
Practice address
285 E State St
Ste 620
Columbus, OH 43215-4354
Phone
(614) 469-7621
Fax
(614) 469-8049
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35066676 OH Primary
Trauma Surgery Physician 2086S0127X 35066676 OH
Vascular Surgery Physician 2086S0129X 35066676 OH
Trauma Surgery Physician 2086S0127X 4301102239 MI
Surgery Physician 208600000X 4301102239 MI

Addresses

Primary practice location

285 E State St
Ste 620
Columbus, OH 43215-4354

Mailing address

1299 Olentangy River Rd
Ste 103
Columbus, OH 43212-3135
Phone (614) 566-4278

Other identifiers 1

IdentifierTypeStateIssuer
0974692MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090126000608 OH Practitioner - General Surgery 5294756573 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066676OHMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Specialty Physicians Corporation CurrentSince Jan 1, 2022 Accepting new patients
Ohio Specialty Physicians Corporation Surgery CurrentSince Jan 1, 2022 Accepting new patients
Orthopedic Trauma Services LTD Past Accepting new patients
Trauma Inc. Past Accepting new patients
Trauma Associates Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 Tuscarawas St W
Ste 600
Canton, OH 44708
Phone (330) 453-4300

2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702

6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200

Interoperability endpoints

  • Direct secure messaging: shockenberry1158857@direct.trinity-health.org

Organizations & group practices 6

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1821079096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 OLENTANGY RIVER RD",
            "address_2": "STE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123135",
            "telephone_number": "614-566-4278",
            "fax_number": "614-566-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E STATE ST",
            "address_2": "STE 620",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154354",
            "telephone_number": "614-469-7621",
            "fax_number": "614-469-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKENBERRY",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35066676",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "OH",
            "license": "35066676",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35066676",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MI",
            "license": "4301102239",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301102239",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0974692",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.