MR. MARK EDWARD HENNESSY JR. (NPI# 1184100620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184100620 |
| Entity Type | Individual |
| Full Name | MR. MARK EDWARD HENNESSY JR. |
| Credential | CRNA |
| Practice Address |
4800 Friendship Ave Pittsburgh PA 15224-1722 |
| Practice Telephone | 4125785323 |
| Practice Fax Number | 4126056424 |
| Mailing Telephone | 4125785323 |
| Mailing Fax Number | 4126056424 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 121801 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194784728 | Mark Edward Hennessy | Family Medicine | 14215 S Post Oak Rd, Houston, TX 77045-5233 | 2006-03-22 |
| 1194710467 | Mark D Hennessy | Obstetrics & Gynecology | 1924 Alcoa Hwy, Suite 6-south, Knoxville, TN 37920-1511 | 2005-09-13 |
| Street Address |
4800 FRIENDSHIP AVE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839156 | West Penn Allegheny Health System, Inc. | Home Health | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2005-05-24 |
| 1659972206 | John Petch | Registered Nurse | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2020-11-02 |
| 1699387167 | Shawna Yearick | Registered Nurse | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2020-08-17 |
| 1710598602 | Samantha White | Registered Nurse | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2020-08-13 |
| 1356951289 | Gerald Richard William Taylor IIi | Pharmacist | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2020-08-05 |
| 1205454154 | Mitchell E Mirabile | Pharmacist | 4800 Friendship Ave, Pittsburgh, PA 15224-1793 | 2020-07-08 |
| 1144846460 | Elizabeth Samson | Psychologist | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2020-06-23 |
| 1093336737 | Brittney Noss-bednar | Nurse Practitioner | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2020-05-05 |
| 1821625336 | Joy Olivia Jakubek | Pharmacist | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2020-03-25 |
| 1396384053 | Celeste Ellen Kunkel | Physician Assistant | 4800 Friendship Ave, Pittsburgh, PA 15224-1793 | 2019-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1366073991 | Monica Renee Bentzen | Nurse Anesthetist, Certified Registered | 431 Franklin Ave, Pittsburgh, PA 15221-2823 | 2020-02-02 |
| 1598305930 | Dustin Christine Nichols | Nurse Anesthetist, Certified Registered | 5267 Holmes St Apt 205, Pittsburgh, PA 15201-2468 | 2020-01-14 |
| 1275045304 | Joseph Manilla | Nurse Anesthetist, Certified Registered | 717 Liberty Ave Apt 2209, Pittsburgh, PA 15222-3537 | 2017-10-30 |
| 1902336902 | Jillianne Jarosz | Nurse Anesthetist, Certified Registered | 5230 Centre Ave Ste 205, Pittsburgh, PA 15232-1304 | 2017-06-13 |
| 1265970149 | Jaclyn Ashline | Nurse Anesthetist, Certified Registered | 5400 Elmer St Apt 1, Pittsburgh, PA 15232-2227 | 2017-02-10 |
| 1932579687 | Anna Viera | Nurse Anesthetist, Certified Registered | 705 Duncan Ave Apt 309, Pittsburgh, PA 15237-5017 | 2015-10-06 |
| 1770986895 | Kimberly Donaldson | Nurse Anesthetist, Certified Registered | 8690 Winchester Dr, Pittsburgh, PA 15237-5746 | 2014-10-02 |
| 1699176347 | James Omeara Sauter Jr. | Nurse Anesthetist, Certified Registered | 678 Forest Ave Apt 1, Pittsburgh, PA 15202-2926 | 2014-09-12 |
| 1205267689 | Kristin Adkins | Nurse Anesthetist, Certified Registered | 188 Hollow Haven Dr, Pittsburgh, PA 15236-2602 | 2013-12-10 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
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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.