Mark D Hennessy (NPI# 1194710467, PAC ID# 3072502020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1194710467 |
| PAC ID by PECOS | 3072502020 |
| Professional Enrollment ID | I20050223000140 |
| Full Name | Mark D Hennessy |
| Organization Legal Name | HIGH RISK OBSTETRICAL CONSULTANTS, PLLC |
| Address |
109 Independence Ln Suite 500 La Follette TN 37766-3040 |
| Phone Number | 8655441853 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1986 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8729137021 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440015 | UNIVERSITY OF TN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1930 Alcoa Hwy, Suite 435, Knoxville, TN 37920-1520 | 8653058888 | HIGH RISK OBSTETRICAL CONSULTANTS, PLLC |
| 109 Independence Ln, Suite 500, La Follette, TN 37766-3040 | 8655441853 | HIGH RISK OBSTETRICAL CONSULTANTS, PLLC |
| Organization Legal Name | HIGH RISK OBSTETRICAL CONSULTANTS, PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynlee Marie Wolfe | Obstetrics/gynecology | High Risk Obstetrical Consultants, Pllc | 1930 Alcoa Hwy, Suite 435, Knoxville, TN 37920-1520 |
| Kristina Michelle Shumard | Obstetrics/gynecology | High Risk Obstetrical Consultants, Pllc | 1930 Alcoa Hwy, Suite 435, Knoxville, TN 37920-1520 |
| Kevin C Visconti | Obstetrics/gynecology | High Risk Obstetrical Consultants, Pllc | 1930 Alcoa Hwy, Suite 435, Knoxville, TN 37920-1520 |
| Craig V Towers | Obstetrics/gynecology | High Risk Obstetrical Consultants, Pllc | 1930 Alcoa Hwy, Suite 435, Knoxville, TN 37920-1520 |
| Street Address |
109 INDEPENDENCE LN SUITE 500 |
| City | LA FOLLETTE |
| State | TN |
| Zip | 37766-3040 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Autumn Robbins | Nurse Practitioner | University Health System,inc | 109 Independence Ln, Suite 200, La Follette, TN 37766-3034 |
| Krista A Bolton | Nurse Practitioner | University Health System,inc | 109 Independence Ln, Suite 500, La Follette, TN 37766-3040 |
| Juliana Williamston | Family Medicine | University Health System,inc | 109 Independence Ln, Suite 200, La Follette, TN 37766-3034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra F Verna | Nurse Practitioner | 300 Beech St, Suite 1, Lafollette, TN 37766 | |
| Thomas L Cohen | Diagnostic Radiology | 945 E Central Ave, Lafollette, TN 37766 | |
| Todd Clifford Giesecke | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 919 E Central Ave, Lafollette, TN 37766-2055 |
| Todd B Nidiffer | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 919 E Central Ave, Lafollette, TN 37766-2055 |
| Sharon E Kapp | Clinical Social Worker | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| Leah Mcconoughey | Clinical Social Worker | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| Amy L Crabtree | Clinical Social Worker | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| Kevin O'reilly | Nurse Practitioner | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| James A Bowen | Nurse Practitioner | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| Okon Atte Enyenihi | Psychiatry | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| Find all physicians in zip 37766 | |||
| City | LA FOLLETTE |
| Zip Code | 37766 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LA FOLLETTE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Mark D Hennessy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.