Active NPI
Mark E Henck, MD
- Diagnostic Radiology Physician
- Indiana, PA
National Provider Identifier
1114975919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD051219L
- Practice address
- 835 Hospital Rd
Indiana, PA 15701-3629 - Phone
- (724) 357-7125
- Fax
- (724) 357-7482
- NPI assigned
- May 4, 2006
- Last updated
- Nov 27, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | MD051219L | PA | |
| Nuclear Radiology Physician | 2085N0904X | MD051219L | PA | |
| Pediatric Radiology Physician | 2085P0229X | MD051219L | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MD051219L | PA | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD051219L | PA | |
| Diagnostic Ultrasound Physician | 2085U0001X | MD051219L | PA |
Addresses
Primary practice location
835 Hospital Rd
Indiana, PA 15701-3629
Mailing address
7 Acee Drive
Natrona Heights, PA 15065
Phone (800) 223-5544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 678158 | Other | PA | HIGHMARK |
| 0015165300001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Pennsylvania State University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
835 Hospital Rd
Indiana, PA 15701-3629
Phone (800) 223-5544
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD051219L | PA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Valley Multispecialty Group, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Indiana, PA
- NPI 1700115128
-
- Internal Medicine Physician
- Beaver, PA
- NPI 1528015401
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1356334510
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1508047630
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1659315372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1114975919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ACEE DRIVE",
"city": "NATRONA HEIGHTS",
"state": "PA",
"postal_code": "15065",
"telephone_number": "800-223-5544",
"fax_number": "724-294-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 HOSPITAL RD",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013629",
"telephone_number": "724-357-7125",
"fax_number": "724-357-7482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENCK",
"first_name": "MARK",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "PA",
"license": "MD051219L",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "PA",
"license": "MD051219L",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "PA",
"license": "MD051219L",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD051219L",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PA",
"license": "MD051219L",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "PA",
"license": "MD051219L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "678158",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015165300001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.