Provider Demographics
NPI:1467661678
Name:HENSON, GINGER LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:GINGER
Middle Name:LYNN
Last Name:HENSON
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:GINGER
Other - Middle Name:LYNN
Other - Last Name:HENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10 REMICK BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-9168
Mailing Address - Country:US
Mailing Address - Phone:937-907-9009
Mailing Address - Fax:
Practice Address - Street 1:10 REMICK BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-9168
Practice Address - Country:US
Practice Address - Phone:937-907-9009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35093454207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2956789Medicaid
KY7100077750Medicaid
000000613845OtherANTHEM BC BS
IN200945960Medicaid
9490233OtherAETNA
OH4262471Medicare PIN