Mark W Hennicke, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA002773L Issued in PA

Practice address

530 South St
Second Floor
Greensburg, PA 15601-2775

Phone

(724) 689-1358

Fax

(724) 689-0547

NPI assigned

Apr 26, 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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Cardiology AssocationGroup PAC ID 1254229255, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhennicke@jeffersoncardiology.medentdirect.com

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.

• Jefferson Cardiology Assocation

  dba Greater Pittsburgh Vascular Associates

  • Cardiovascular Disease Physician
  • Jefferson Hills, PA
  • NPI 1275587222
  Medicare reassignment Care Compare group NPD
• Excela Health Physician Practices, Inc

  dba Excela Health Cardiology

  • Cardiovascular Disease Physician
  • Greensburg, PA
  • NPI 1821225202
  Medicare reassignment
• Excela Health Physician Practices, Inc.

  dba Walk-in Clinic

  • Family Medicine Physician
  • Greensburg, PA
  • NPI 1235004193
  NPD
• Excela Health Physician Practices, Inc.

  dba Excela Health Neurology

  • Neurology Physician
  • Greensburg, PA
  • NPI 1669617320
  NPD
• Excela Health Physician Practices, Inc.

  dba Excela Health Pulmonology

  • Pulmonary Disease Physician
  • Latrobe, PA
  • NPI 1306377718
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jefferson Regional Medical Center

  • Clinic/Center
  • Clairton, PA
  • NPI 1366488108

  Hospital

  Care Compare affiliation
• Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Clairton, PA
  • NPI 1578560504
  Care Compare affiliation

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1487611307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SOUTH ST",
            "address_2": "SECOND FLOOR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012775",
            "telephone_number": "724-689-1358",
            "fax_number": "724-689-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNICKE",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002773L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Henderson, MA, LPC
• Kristina Hendrick
• Kiley M Henehan, LPC
• Cheryl Ann Henkel, NCSP
• William J. Hennessey, M.D.
• Adam C Henry
• Jennifer Hess
• Virginia A Hewitt, PA-C
• HHH Senior Specialist (Redstone @ Home)
• HHH Senior Specialist (Redstone @ Home)

• Medical Physician Assistant in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.

Verify at the official NPI Registry.