DR. MATTHEW EDWARD HENNIG (NPI# 1518127943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518127943 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW EDWARD HENNIG |
| Credential | MD |
| Practice Address |
207 Sparks Ave Suite 201 Jeffersonville IN 47130-3739 |
| Practice Telephone | 8122801419 |
| Mailing Telephone | 8122801419 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2016-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036126188 | IL | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01071815A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
207 SPARKS AVE SUITE 201 |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750879 | Debra D Sehr | Registered Nurse | 207 Sparks Ave, Suite 407, Jeffersonville, IN 47130-3739 | 2005-09-13 |
| 1083098651 | Rhn Clark Memorial Physician Practices LLC | Emergency Medicine | 207 Sparks Ave, Jeffersonville, IN 47130-3739 | 2015-07-14 |
| 1043613656 | Melissa B Davidson | Registered Nurse | 207 Sparks Ave, Suite 403, Jeffersonville, IN 47130-3739 | 2014-09-28 |
| 1770821043 | Sleep Testing Services of America, Inc. | Physiological Laboratory | 207 Sparks Ave, Suite 205, Jeffersonville, IN 47130-3739 | 2013-01-22 |
| 1972878965 | Callie Dee Durham | Nurse Practitioner | 207 Sparks Ave, Suite 301, Jeffersonville, IN 47130-3739 | 2012-03-09 |
| 1649547274 | Marla A Beeler | Nurse Practitioner | 207 Sparks Ave, Suite 201, Jeffersonville, IN 47130-3739 | 2011-11-28 |
| 1457636813 | E-healthcare Solutions LLC | Durable Medical Equipment & Medical Supplies | 207 Sparks Ave, Suite 003, Jeffersonville, IN 47130-3739 | 2011-10-18 |
| 1457688301 | Labone of Ohio Inc | Clinical Medical Laboratory | 207 Sparks Ave, Suite 200, Jeffersonville, IN 47130-3739 | 2009-11-13 |
| 1336311240 | Carrie Ann Crigger | Pediatrics | 207 Sparks Ave, Suite 403, Jeffersonville, IN 47130-3739 | 2008-03-31 |
| 1912183500 | Ryan M Missi | Nurse Practitioner | 207 Sparks Ave, Ste 403, Jeffersonville, IN 47130-3739 | 2008-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972516094 | James M Van Daalen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 207 Sparks Ave, Suite 201, Jeffersonville, IN 47130-3739 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063900249 | Patrick Finnan Vining | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 545 Barnhill Dr Emerson Hall 215, Indianapolis, IN 46202 | 2018-04-24 |
| 1588084685 | Ashish Pulikal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7120 Clearvista Dr Ste 5300, Indianapolis, IN 46256-5300 | 2014-04-16 |
| 1649602236 | John F Ansbro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6199 River Bluff Dr, Newburgh, IN 47630-8850 | 2013-08-06 |
| 1972895266 | Union Hospital, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 351 Maiden Lane, Union Hospital, Inc., Terre Haute, IN 47804-4073 | 2011-05-05 |
| 1013219435 | Walter William Jolly | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10101 Ditch Rd, Carmel, IN 46032-8897 | 2010-11-18 |
| 1407085228 | Alan Thomas Marty | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 214 W Water St, Newburgh, IN 47630-1159 | 2009-07-14 |
| 1336381680 | Giorgio Zanotti | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10590 N Meridian St # 105, Indianapolis, IN 46290-1028 | 2009-04-01 |
| 1639337769 | Kyle W Yancey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1100 Reid Pkwy Ste 240, Richmond, IN 47374-1157 | 2008-05-27 |
| 1316104839 | Jay B Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 610 N Michigan St Ste 306, South Bend, IN 46601-1079 | 2008-05-21 |
| 1114122488 | Hannah Copeland | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804-4159 | 2007-06-18 |
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| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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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.