Active NPI
Scott Edward Hockenberry, MD
- Surgery Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35066676
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0974692 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35066676 | OH | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Specialty Physicians Corporation | Current | Accepting new patients | |
| Ohio Specialty Physicians Corporation | Surgery | Current | 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
- 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.
-
- Surgery Physician
- Canton, OH
- NPI 1285745364
-
- Durable Medical Equipment & Medical Supplies
- North Canton, OH
- NPI 1972299063
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Orthopaedic Surgery Physician
- Columbus, OH
- NPI 1285622688
-
- Personal Emergency Response Attendant
- Columbus, OH
- NPI 1881608164
-
- Personal Emergency Response Attendant
- Columbus, OH
- NPI 1922149871
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.