Patrick Thomas Hennessey
MID MICHIGAN EAR NOSE AND THROAT PC


Address: 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Phone: 5173320285

Patrick Thomas Hennessey (NPI# 1215146956, PAC ID# 3971752890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1215146956
PAC ID by PECOS 3971752890
Professional Enrollment ID I20140212001017
Full Name Patrick Thomas Hennessey
Organization Legal Name MID MICHIGAN EAR NOSE AND THROAT PC
Address 1500 Abbott Rd
Suite 400
East Lansing
MI 48823-1956
Phone Number 5173320285
Gender M
Medical School GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 2007
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 1052363801
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230230 EDWARD W SPARROW HOSPITAL
231327 HAYES GREEN BEACH MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956 5173320285 MID MICHIGAN EAR NOSE AND THROAT PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name MID MICHIGAN EAR NOSE AND THROAT PC
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Eileen Bridges Qualified Audiologist Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Danielle L Gainor Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Jason David Chesney Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Kristen L Umphlett Qualified Audiologist Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Nicole M Thelen Occupational Therapy Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Eric A Goebel Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Catherine Y Stewart Qualified Audiologist Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Mark D Lebeda Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Ahmed S Sufyan Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Lisa M Theodorovich Qualified Audiologist Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956

Office Location

Street Address 1500 ABBOTT RD
SUITE 400
City EAST LANSING
State MI
Zip 48823-1956

Physicians in the same location

Name Specialty Organization Address
Eileen Bridges Qualified Audiologist Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Danielle L Gainor Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Jason David Chesney Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Kristen L Umphlett Qualified Audiologist Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Nicole M Thelen Occupational Therapy Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Eric A Goebel Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Catherine Y Stewart Qualified Audiologist Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Mark D Lebeda Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Ahmed S Sufyan Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Lisa M Theodorovich Qualified Audiologist Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Duane M Smith Otolaryngology Mid Michigan Ear Nose and Throat PC 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1222
Marilyn A Larkey Clinical Social Worker 1970 N Harrison Rd, East Lansing, MI 48823-1304
Gary H Dwight Maxillofacial Surgery 818 W Lake Lansing Rd, East Lansing, MI 48823-1308
Michelle A Meade Chiropractic 802 W Lake Lansing Rd, East Lansing, MI 48823-1331
Judy L Tant Psychologist, Clinical 1990 Pinecrest Dr, East Lansing, MI 48823-1350
Stephen P Thompson Optometry 2200 Coolidge Rd, Suite 15, East Lansing, MI 48823-1363
Melissa K Aste Certified Registered Nurse Anesthetist (crna) Northstar Anesthesia of Michigan II PC 2075 Coolidge Rd, East Lansing, MI 48823-1378
James E Budge Optometry Lansing Ophthalmology, PC 2001 Coolidge Rd, East Lansing, MI 48823-1378
Craig D Lewis Ophthalmology Lansing Ophthalmology, PC 2001 Coolidge Rd, East Lansing, MI 48823-1378
Michael J Bueche Ophthalmology Lansing Ophthalmology, PC 2001 Coolidge Rd, East Lansing, MI 48823-1378
Find all physicians in zip 48823

Competitor

Search similar physicians

City EAST LANSING
Zip Code 48823
Specialty OTOLARYNGOLOGY
City + Specialty EAST LANSING + OTOLARYNGOLOGY

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Dataset Information

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.

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