DR. MARK JOSEPH HENZES (NPI# 1457351488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457351488 |
| Entity Type | Individual |
| Full Name | DR. MARK JOSEPH HENZES |
| Credential | MD |
| Practice Address |
100 S Jackson Ave Agh Suburban Campus Pittsburgh PA 15202 |
| Mailing Address |
320 E North Ave Agh Emergency Assocs Pittsburgh PA 15212 |
| Practice Telephone | 4127346100 |
| Practice Fax Number | 4127346932 |
| Mailing Telephone | 4123594138 |
| Mailing Fax Number | 4123598874 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2008-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD039291 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0054951000 | 05 | |
| PA | 0010739500014 | 05 | |
| OH | 0134018 | 05 |
| Street Address |
100 S JACKSON AVE AGH SUBURBAN CAMPUS |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987979 | Betsy W. Blazek-o'neill | Physical Medicine & Rehabilitation | 100 S Jackson Ave, 3rd Floor, Pittsburgh, PA 15202-3428 | 2005-07-28 |
| 1871136366 | Austin Bloomberg | Physical Therapist | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 | 2019-10-28 |
| 1275043408 | Allegheny Clinic | Internal Medicine | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 | 2017-10-02 |
| 1538617295 | Dana Gregg | Speech-Language Pathologist | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 | 2016-09-12 |
| 1679916712 | New Lifecare Hospitals of Pittsburgh LLC | Skilled Nursing Facility | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 | 2013-04-08 |
| 1427305192 | Jennifer M Golovin | Speech-Language Pathologist | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 | 2012-08-13 |
| 1952683765 | Mollie Marie Lauck | Nurse Practitioner | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 | 2011-09-16 |
| 1063708931 | Brian Paul Pflugh | Physician Assistant | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 | 2011-06-20 |
| 1528352150 | Pittsburgh Pulmonary Medicine, PC | Internal Medicine | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 | 2011-05-31 |
| 1164713236 | Lifecare Hospitals of Pittsburgh | Skilled Nursing Facility | 100 S Jackson Ave, Pittsburgh, PA 15202-3428 | 2011-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174992135 | Darla Carter | Registered Nurse | 261 Center Avenue Apt.2, Emsworth, PA 15202 | 2015-09-21 |
| 1811385768 | Tonya Mckenzie | Specialist/Technologist | 527 Monroe Ave, Apt 306, Pittsburgh, PA 15202 | 2014-12-30 |
| 1891938932 | Shannon W Passineau | Dentist | 51 N. Balph Ave., Pittsburgh, PA 15202 | 2009-04-17 |
| 1396999348 | Kristina Kim | Occupational Therapist | 7206 Brighton Road, Ben Avon, PA 15202 | 2008-11-04 |
| 1437301108 | Ankle and Foot Care Inc | Podiatrist | 180 Lincoln Ave, Pittsburgh, PA 15202 | 2008-10-14 |
| 1689859456 | Frank Meacci Jr. | Psychologist | 315 Walnut Road, Pittsburgh, PA 15202 | 2007-12-29 |
| 1598986416 | Micucci Family Dentistry PC | Dentist | 704 Lincoln Avenue, Pittsburgh, PA 15202 | 2007-05-01 |
| 1306964051 | Pittsburgh Regional Chiropractic Center | Chiropractor | 14 North Balph Ave., Pittsburgh, PA 15202 | 2007-03-27 |
| 1205998960 | Nicole Desiree Hahna | Music Therapist | 7115 Church Ave., Pittsburgh, PA 15202 | 2006-12-15 |
| 1780751743 | John Brian Debonis | Dentist | 467 Lincoln Avenue, Bellevue, PA 15202 | 2006-11-28 |
| Find all providers in zip 15202 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1134572506 | Matthew Charek | Emergency Medicine | 2626 South Tunnel Blvd, Apt 458, Pittsburgh, PA 15203 | 2016-07-20 |
| 1942674569 | University of Pittsburgh Physicians | Emergency Medicine | Arcadia Ctr, 9401 Mcknight Road, Suite 107, Pittsburgh, PA 15237-6000 | 2015-11-19 |
| 1912389172 | Mary Gallo | Emergency Medicine | 3732 Foster St, Pittsburgh, PA 15201-3229 | 2015-06-24 |
| 1982081238 | Shaina Parks | Emergency Medicine | 320 E N Ave, Allegheny General Hospital, Pittsburgh, PA 15212 | 2015-05-06 |
| 1578903167 | Radley Short | Emergency Medicine | 80 Barry St, Pittsburgh, PA 15203-2473 | 2013-06-27 |
| 1821437732 | Lauren Marie Keitzer | Emergency Medicine | 1327 Washington Rd, Pittsburgh, PA 15228-1610 | 2013-06-25 |
| 1588008791 | Steven Davis Perry | Emergency Medicine | 3600 Forbes Ave Ste 10040, Pittsburgh, PA 15213 | 2013-04-18 |
| 1336582121 | Patrick Joseph Bovino | Emergency Medicine | 2 Hot Metal Street, Pittsburgh, PA 15203-2348 | 2013-04-10 |
| 1487995775 | Manuel Rosapapan Novilla | Emergency Medicine | 288 Tara Dr, Pittsburgh, PA 15236-4317 | 2013-03-11 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15202 |
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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.