Mark Henry Hennington, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

17118 Issued in NC

Practice address

420 N Center St
Hickory, NC 28601-5046

Phone

(828) 323-1100

Fax

(828) 324-9189

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1093776619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015046",
            "telephone_number": "828-323-1100",
            "fax_number": "828-324-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015046",
            "telephone_number": "828-323-1100",
            "fax_number": "828-324-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGTON",
        "first_name": "MARK",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "17118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8941658",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROLINA CARE PLAN (PHP)",
            "identifier": "3760384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hendrick Home Care Hickory, LLC
• Ryan Matthew Hendricker, M.D.
• Wendy Michelle Hendricks, MSSW LCAS
• Margaret Anne Hendrix, MA, NCC,LPC
• Jennifer Dagenhart Henline, CRNA
• Thomas Paul Hensley, LPC, LCAS
• Alyssa Henson, D.O.
• Baker Henson, DO
• Thomas Herfurth, MD
• Carrie Chestnut Herman, NP-C

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.