DR. MARK A HENRY (NPI# 1972587251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972587251 |
| Entity Type | Individual |
| Full Name | DR. MARK A HENRY |
| Credential | MD |
| Practice Address |
120 Tradepark Dr Ste A Somerset KY 42503-3454 |
| Practice Telephone | 6066797778 |
| Practice Fax Number | 6064511814 |
| Mailing Telephone | 6066797778 |
| Mailing Fax Number | 6064511814 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2013-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 27260 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 180028760 | 01 | |
| BCBS | 000000071743 | 01 | |
| TN | BLUE CROSS | 3061400 | 01 |
| KY | 64272602 | 05 | |
| UMWA | 1520956 | 01 | |
| TN | 4020794 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527467 | Mark David Henry | Optometrist | 784 E Main St Ste D, Lancaster, OH 43130-3983 | 2005-09-02 |
| 1760013577 | Mark Henry | Social Worker | 2 Park Ave, Yonkers, NY 10703-3402 | 2020-01-30 |
| 1710335682 | Mark Michael Henry | Pharmacist | 1414 N Division St, Morris, IL 60450-1583 | 2016-06-01 |
| 1629454749 | Mark R Henry | Physical Therapist | 2405 Atherholt Rd, Lynchburg, VA 24501-2184 | 2015-07-31 |
| 1104211333 | Mark Henry | Urology | 31 Village Sq, Chelmsford, MA 01824-2712 | 2015-04-03 |
| 1083953699 | Mark Allan Henry | Counselor | 600 Avant Ave, Clinton, OK 73601-3916 | 2013-02-04 |
| 1841501517 | Mark E Henry | Anesthesiology | Department of Anesthesiology, N2198 Unc Hospitals, Cb#7010, Chapel Hill, NC 27599-7010 | 2010-06-28 |
| 1669618070 | Mark Henry | Counselor | 921 Sw Washington St, Suite 460, Portland, OR 97205-2827 | 2009-01-07 |
| 1184889644 | Mark Alan Henry | Dentist | 2050 Marquette Rd, Suite 300, Peru, IL 61354 | 2008-07-24 |
| 1649494667 | Mark Angelo Henry Sr. | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2007-04-12 |
| Street Address |
120 TRADEPARK DR STE A |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558695262 | Lake Cumberland Cardiology Associates, LLC | Internal Medicine | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2009-09-28 |
| 1053550046 | Lake Cumberland Physician Practices, LLC | Physician Assistant | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2009-02-13 |
| 1235315755 | Kimberly Meyer | Nurse Practitioner | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2008-01-15 |
| 1285776476 | Southern Kentucky Eye Center Psc | Optometrist | 120 Tradepark Dr, Suite A, Somerset, KY 42503-3454 | 2007-02-13 |
| 1063564011 | Christopher John Frost | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2007-01-18 |
| 1922150994 | Teresa Jean Bentley | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2007-01-18 |
| 1477639243 | Dermatology Center of Lake Cumberland, Psc | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396813978 | Huffman and Huffman Psc | Ophthalmology | 303 Langdon Street, Somerset, KY 42503 | 2006-12-01 |
| 1679673644 | Princeton Eye Group,pa | Ophthalmology | 900 Easton Avenue, Suite 50, Somerset, NJ 08873 | 2006-09-22 |
| 1518987791 | Tasneem F Shamim | Ophthalmology | 1283 Route 27, Somerset, NJ 08873 | 2006-07-20 |
| 1215994413 | Iraj Shariat | Ophthalmology | 107 W Patriot St, Somerset, PA 15501-2044 | 2006-05-01 |
| 1518377688 | Hathaway Eyecare, LLC | Ophthalmology | 49 Veronica Ave, Suite 204, Somerset, NJ 08873-6802 | 2014-04-29 |
| 1356643787 | Tasneem F Shamim Md, L.l.c | Ophthalmology | 1283 State Route 27, Somerset, NJ 08873-5005 | 2010-11-17 |
| 1851552954 | Richard C. Angrist, M.d., P.a. | Ophthalmology | 1527 State Route 27, Suite 2600, Somerset, NJ 08873-3979 | 2008-06-20 |
| 1821265349 | Bradley J Phillips Md LLC | Ophthalmology | 1543 Route 27, Suite 23, Somerset, NJ 08873 | 2008-05-14 |
| 1811034788 | Roopinder K. Grewal, Md, LLC | Ophthalmology | 49 Veronica Ave, Suite 204, Somerset, NJ 08873-6802 | 2007-01-31 |
| 1740327527 | Roopinder Grewal | Ophthalmology | 49 Veronica Ave, Suite 204, Somerset, NJ 08873-6802 | 2007-01-31 |
| Find all providers in SOMERSET | ||||
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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.