Patrick Thomas Hennessey (NPI# 1215146956, PAC ID# 3971752890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230230 | EDWARD W SPARROW HOSPITAL |
231327 | HAYES GREEN BEACH MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1956 | 5173320285 | MID MICHIGAN EAR NOSE AND THROAT PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | MID MICHIGAN EAR NOSE AND THROAT PC |
Physicians | 18 |
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 |
Street Address |
1500 ABBOTT RD SUITE 400 |
City | EAST LANSING |
State | MI |
Zip | 48823-1956 |
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 |
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 |
City | EAST LANSING |
Zip Code | 48823 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | EAST LANSING + OTOLARYNGOLOGY |
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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.