Mark Fennema

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS007405E Issued in PA

Practice address

1000 Bower Hill Rd
Upmc Passavant Hospital
Pittsburgh, PA 15243-1873

Phone

(412) 942-4000

NPI assigned

May 8, 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

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Horizon Hospital, Greenville, PA, CCN 390178
• Upmc Jameson Hospital, New Castle, PA, CCN 390016
• Upmc East Hospital, Monroeville, PA, CCN 390328
• Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mfennema88582@upmc.direct-ci.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.

• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment Care Compare group NPD
• St Clair Medical Services, Inc.

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1467485565
  Medicare reassignment NPD
• St Clair Medical Services Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Pittsburgh, PA
  • NPI 1154819779
  NPD
• St Clair Medical Services Inc

  • Otolaryngology Physician
  • Bethel Park, PA
  • NPI 1659224715
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1861457830
  NPD
• Conemaugh Valley Memorial Hospital

  • Emergency Medicine Physician
  • Johnstown, PA
  • NPI 1346200920
  NPD (past)
• DLP Conemaugh Meyersdale Medical Center LLC

  • Critical Access Hospital
  • Meyersdale, PA
  • NPI 1659376358
  NPD (past)
• St Clair Medical Services Inc

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1447751979
  NPD (past)
• Westmoreland Emergency Medicine Specialists, PC

  • Emergency Medicine Physician
  • Greensburg, PA
  • NPI 1487676334
  NPD (past)
• Columbia Healthcare of Central Virginia Inc

  • Plastic Surgery Physician
  • Richmond, VA
  • NPI 1417946450
  NPD (past)
• Emergency Physicians of Southern Virginia LLP

  • Emergency Medicine Physician
  • Galax, VA
  • NPI 1417187667
  NPD (past)

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

• Upmc East

  • General Acute Care Hospital
  • Monroeville, PA
  • NPI 1225323983
  Care Compare affiliation
• Upmc Horizon

  • General Acute Care Hospital
  • Greenville, PA
  • NPI 1225048838
  Care Compare affiliation
• Upmc Horizon

  • Ambulatory Surgical Clinic/Center
  • Greenville, PA
  • NPI 1952465890

  Hospital

  Care Compare affiliation
• Upmc Jameson

  • Adult Mental Health Clinic/Center
  • New Castle, PA
  • NPI 1336277953

  Hospital

  Care Compare affiliation
• Upmc Jameson

  • General Acute Care Hospital
  • New Castle, PA
  • NPI 1477538312
  Care Compare affiliation
• Upmc Jameson

  • Ambulatory Surgical Clinic/Center
  • New Castle, PA
  • NPI 1609920206

  Hospital

  Care Compare affiliation
• Upmc Passavant

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1225047699
  Care Compare affiliation
• Upmc Passavant

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1639218936

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1841249786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "address_2": "ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN PATNESK",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "address_2": "UPMC PASSAVANT HOSPITAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNEMA",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS007405E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.l.fennema@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Josephine Fenn-Cousino
• Amy Fenn
• Megan E. Fennell, COTA
• Michele Jean Fennell, CRNP
• Scotlynne Fennell
• Sharon Fennimore, MA, E-RYT, RPYT
• Jarrett Fenon, DPM, MBA
• Katherine Caloway Fenster
• Martin M Fenster, MD
• Sheiva Fenstermacher, M.D.

• Emergency Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.