Organization Active NPI

Cynthia D Hensley MD Inc

  • Medical Specialty Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1871781146
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME79598 Issued in FL
Legal business name
CYNTHIA D HENSLEY MD INC
Practice address
26661 Dublin Woods Cir
Bonita Springs, FL 34135-7224
Phone
(239) 390-9933
Fax
(239) 390-2095
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Cynthia D Hensley, M.D.NPI 1134183718
Title
Ceo
Phone
(239) 390-9933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME79598 FL Primary

Addresses

Primary practice location

26661 Dublin Woods Cir
Bonita Springs, FL 34135-7224

Mailing address

26661 Dublin Woods Cir
Bonita Springs, FL 34135-7224
Phone (239) 390-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000481 FL Part B Supplier - Clinic/Group Practice 4284645946 Receives reassigned benefits from 1 practitioner
Practice locations: Bonita Springs, FL

National Provider Directory

National Provider Directory

Locations

26661 Dublin Woods Cir
Bonita Springs, FL 34135
Phone (239) 390-9933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1871781146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26661 DUBLIN WOODS CIR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357224",
            "telephone_number": "239-390-9933",
            "fax_number": "239-390-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26661 DUBLIN WOODS CIR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357224",
            "telephone_number": "239-390-9933",
            "fax_number": "239-390-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA D HENSLEY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-390-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME79598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.