Active NPI
Max Hennessy
- Otolaryngology Physician
- Camp Hill, PA
National Provider Identifier
1487146429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD486155
- Practice address
- 875 Poplar Church Rd Ste 320
Camp Hill, PA 17011-2203 - Phone
- (717) 763-7400
- NPI assigned
- Jun 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD486155 | PA | Primary |
Addresses
Primary practice location
875 Poplar Church Rd Ste 320
Camp Hill, PA 17011-2203
Mailing address
875 Poplar Church Rd Ste 320
Camp Hill, PA 17011-2203
Other practice location 1
850 Walnut Bottom Rd Ste 304
Carlisle, PA 17013-3615
Phone (717) 763-7400
Other practice location 2
34 Northeast Dr
Hershey, PA 17033-2732
Phone (717) 835-1900
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
- Otolaryngology
- Education
- Pennsylvania State University College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
875 Poplar Church Rd
Suite 320
Camp Hill, PA 17011-2203
Phone (717) 763-7400
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
- Penn State Health Holy Spirit Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aop, Inc. | Current | Accepting new patients |
Locations
875 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 761-5131
875 Poplar Church Rd
Ste 320
Camp Hill, PA 17011
Phone (717) 763-7400
850 Walnut Bottom Rd
Ste 304
Carlisle, PA 17013
Phone (717) 249-5400
Interoperability endpoints
- drhennessy@aop.medentdirect.com
Organizations & group practices 1
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.
-
- Specialist
- Camp Hill, PA
- NPI 1588749840
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1487146429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 POPLAR CHURCH RD STE 320",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 POPLAR CHURCH RD STE 320",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112203",
"telephone_number": "717-763-7400"
}
],
"practiceLocations": [
{
"address_1": "850 Walnut Bottom Rd Ste 304",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170133615",
"country_code": "US",
"telephone_number": "717-763-7400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "34 Northeast Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332732",
"country_code": "US",
"telephone_number": "717-835-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENNESSY",
"first_name": "MAX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-05",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD486155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.