MICHAEL HENNIGAN (NPI# 1538699384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538699384 |
| Entity Type | Individual |
| Full Name | MICHAEL HENNIGAN |
| Practice Address |
1451 Hillside Dr Clarks Summit PA 18411-9504 |
| Practice Telephone | (570) 586-2011 |
| Mailing Telephone | (570) 586-2011 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP017524 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003971839 | Michael A. Hennigan | Internal Medicine | 1717 N E St Ste 533, Pensacola, FL 32501-6365 | 2006-12-22 |
| 1316503915 | Michael J Hennigan | Physical Therapy Assistant | 112 Elizabeth Ln Unit C, Genoa City, WI 53128-2120 | 2019-05-20 |
| 1427040906 | Michael W Hennigan | Physical Medicine & Rehabilitation | 1847 Florida Ave, Panama City, FL 32405-4640 | 2005-08-19 |
| Street Address |
1451 HILLSIDE DR |
| City | CLARKS SUMMIT |
| State | PA |
| Zip Code | 18411-9504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447233424 | Pennsylvania Department of Human Services | Pharmacy | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2005-11-23 |
| 1750732566 | Jeffrey Hubert | Pharmacist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2016-06-23 |
| 1194161398 | Susan Nardella | Psychologist | 1451 Hillside Dr, Clarks Summit State Hospital - Psychology Department, Clarks Summit, PA 18411-9504 | 2013-05-14 |
| 1003165549 | Christie Sworen | Psychologist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2012-08-30 |
| 1023268323 | Pa Deptment of Public Welfare | Pharmacy | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2008-09-23 |
| 1407985609 | David Bengt Nesbit | Psychiatry & Neurology | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-03-05 |
| 1760519250 | Yao C Wang | Specialist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-28 |
| 1023144813 | Susan C Lee | Specialist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-26 |
| 1568598381 | Peter Paul Cupple | Specialist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-26 |
| 1699816496 | Alan Robert Benson | Psychologist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228153 | Hayley Nicole Zelinka | Physical Therapist | 1000 Edella Road, South Abington, PA 18411 | 2020-02-26 |
| 1023657269 | Erica Lynn Bednarz | Physical Therapist | 1001 Scenic Drive, Clarks Summit, PA 18411 | 2020-01-06 |
| 1386298842 | Gj-mac Enterprises LLC | In Home Supportive Care | 506 N State Street, Clarks Summit, PA 18411 | 2019-08-01 |
| 1609392117 | Colleen Marie Dougherty | Nurse Practitioner | 1145 Northern Boulevard, South Abington, PA 18411 | 2017-08-16 |
| 1629438312 | Christopher Oyede | Psychiatry & Neurology | 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 | 2016-02-24 |
| 1194107326 | Russell Zapko | Physical Medicine & Rehabilitation | 100 Edella Road, South Abington, PA 18411 | 2015-06-24 |
| 1952719619 | Geisinger Clinic | Family Medicine | 790 North Blvd, Suite K, Clarks Summit, PA 18411 | 2014-07-25 |
| 1437428182 | Gloria Marie Gigliotti | Behavioral Analyst | 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 | 2011-12-27 |
| 1790064137 | John D Cacciamani | Internal Medicine | 1345 Glenview Rd., Clarks Summit, PA 18411 | 2011-08-16 |
| 1235372418 | Five Star Quality Care-ghv, LLC | Assisted Living Facility | 950 Morgan Highway, Clarks Summit, PA 18411 | 2009-04-17 |
| Find all providers in zip 18411 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818752 | Summit Psychiatric Services, LLC | Nurse Practitioner | 395 Bedford St Ste C, Clarks Summit, PA 18411-1805 | 2020-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
| 1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
| 1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
| 1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
| 1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
| 1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
| 1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
| 1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
| 1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | CLARKS SUMMIT |
| Zip Code | 18411 |
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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.