DR. MARK HENRY HENNINGTON (NPI# 1093776619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093776619 |
| Entity Type | Individual |
| Full Name | DR. MARK HENRY HENNINGTON |
| Credential | MD |
| Practice Address |
420 N Center St Hickory NC 28601-5046 |
| Practice Telephone | 8283231100 |
| Practice Fax Number | 8283249189 |
| Mailing Telephone | 8283231100 |
| Mailing Fax Number | 8283249189 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2009-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17118 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CAROLINA CARE PLAN (PHP) | 3760384 | 01 |
| NC | 8941658 | 05 |
| Street Address |
420 N CENTER ST |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214605 | Shana Barkes | Speech-Language Pathologist | 420 N Center St, Hickory, NC 28601-5033 | 2020-11-01 |
| 1689294795 | Kimberly Anette Crotts | Radiologic Technologist | 420 N Center St, Hickory, NC 28601-5033 | 2020-04-18 |
| 1881229508 | John Paul Colosi | Nurse Practitioner | 420 N Center St, Hickory, NC 28601-5033 | 2020-03-04 |
| 1043876725 | Hunter Atkinson Hardaway | Physician Assistant | 420 N Center St, Hickory, NC 28601-5033 | 2019-05-17 |
| 1346736808 | Kevin Lee Lum | Registered Nurse | 420 N Center St, Hickory, NC 28601-5033 | 2018-07-09 |
| 1871084293 | John Charles Flowe | Nurse Anesthetist, Certified Registered | 420 N Center St, Hickory, NC 28601-5033 | 2018-05-21 |
| 1659891109 | Mohammad Khan | Internal Medicine | 420 N Center St, Hickory, NC 28601-5033 | 2017-06-26 |
| 1063948008 | Gastonia Physician Services, Pllc | Emergency Medicine | 420 N Center St, Hickory, NC 28601-5033 | 2017-05-11 |
| 1003342031 | Frye Group Services, Pllc | Hospitalist | 420 N Center St, Hickory, NC 28601-5033 | 2017-05-11 |
| 1790133171 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 420 N Center St, Hickory, NC 28601-5033 | 2016-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104887850 | Richard Alan Carlton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 N Center St, Suite 204, Hickory, NC 28601-5057 | 2006-03-31 |
| 1013978279 | Cemil Mehmet Purut | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 420 N Center St, Hickory, NC 28601-5046 | 2006-03-29 |
| 1427019603 | Hickory Heart, Lung & Vascular Associates, Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 420 N Center St, Hickory, NC 28601-5046 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1619294345 | Peter John Smit | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Cardiothoracic Surgery, Wake Forest Baptist Hospital Medical Center Boulevard, Winston Salem, NC 27157 | 2010-04-20 |
| 1679707913 | Chayanin Vatcharasiritham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr., Ecu Physicians, Greenville, NC 27834 | 2009-05-14 |
| 1497903884 | Kecia Renee Simmons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2203 Neuse Boulevard, Coastal Surgical Specialists, Pa, New Bern, NC 28560-4311 | 2008-08-28 |
| 1871750406 | Betty Caroline Tong | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Duke South Rm 3589, Durham, NC 27710-0001 | 2008-05-21 |
| 1376715656 | Thomas George Caranasos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3040 Burnett Womack Building, Campus Box 7065, Chapel Hill, NC 27599-7065 | 2008-03-27 |
| 1689859332 | Ansar Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Moye Blvd, Greenville, NC 27834-4300 | 2007-12-31 |
| 1801077268 | Pinehurst Surgical Clinic Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 109 Physicians Park, Rockingham, NC 28379-5205 | 2007-11-14 |
| 1316047582 | Leon G Alexander | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17200 Due West Dr, Charlotte, NC 28278-9003 | 2006-09-25 |
| 1023029485 | Joseph William Cook | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.