Mark R Henry (NPI# 1164462354, PAC ID# 7517901440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164462354 |
| PAC ID by PECOS | 7517901440 |
| Professional Enrollment ID | I20050613000447 |
| Full Name | Mark R Henry |
| Organization Legal Name | WATTLES PARK FAMILY PRACTICE II PC |
| Address |
1125 E Michigan Ave Battle Creek MI 49014-6832 |
| Phone Number | 2699696014 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7618293655 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230075 | BRONSON BATTLE CREEK HOSPITAL |
| 230017 | BRONSON METHODIST HOSPITAL |
| 230217 | OAKLAWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1125 E Michigan Ave, Battle Creek, MI 49014-6832 | 2699696014 | WATTLES PARK FAMILY PRACTICE II PC |
| Organization Legal Name | WATTLES PARK FAMILY PRACTICE II PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Mann | Nurse Practitioner | Wattles Park Family Practice II PC | 1125 E Michigan Ave, Battle Creek, MI 49014-6832 |
| Jennifer L Schaefer | Physician Assistant | Wattles Park Family Practice II PC | 1125 E Michigan Ave, Battle Creek, MI 49014-6832 |
| Street Address |
1125 E MICHIGAN AVE |
| City | BATTLE CREEK |
| State | MI |
| Zip | 49014-6832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Viola | Dermatology | W A Foote Memorial Hospital Inc | 1125 E Michigan Ave, Henry Ford Allegiance Surgery Center, Jackson, MI 49201-1801 |
| Bhavani Rangan | Physical Therapy | 1125 E Michigan Ave, Suite 2, Battle Creek, MI 49014-6832 | |
| Matthew G Moore | Family Medicine | W A Foote Memorial Hospital Inc | 1125 E Michigan Ave, Henry Ford Allegiance Surgery Center, Jackson, MI 49201-1801 |
| Michael S Mann | Nurse Practitioner | Wattles Park Family Practice II PC | 1125 E Michigan Ave, Battle Creek, MI 49014-6832 |
| Jennifer L Schaefer | Physician Assistant | Wattles Park Family Practice II PC | 1125 E Michigan Ave, Battle Creek, MI 49014-6832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy M Butcko | Chiropractic | 582 W Territorial Rd, Battle Creek, MI 49014-3280 | |
| Allison S Thomas | Family Medicine | 1250 E Columbia Ave A, Battle Creek, MI 49014-5159 | |
| Jeromy J Myers | Chiropractic | Gymer Chiropractic Clinic PC | 1230 Columbia Ave E A, Myers Chiropractic Clinic, Battle Creek, MI 49014-5188 |
| Rachelle M Myers | Chiropractic | Gymer Chiropractic Clinic PC | 1230 Columbia Ave E A, Myers Chiropractic Clinic, Battle Creek, MI 49014-5188 |
| Emily Colleen Leatherman | Chiropractic | Gymer Chiropractic Clinic PC | 1230 Columbia Ave E A, Myers Chiropractic Clinic, Battle Creek, MI 49014-5188 |
| Sivareddy Tegulapalle | Gastroenterology | 601 S Shore Dr, Unit 327, Battle Creek, MI 49014-5440 | |
| Rachel D Yankama | Obstetrics/gynecology | 601 S Shore Dr, Unit 224, Battle Creek, MI 49014-5440 | |
| Beau D Doubleday | Chiropractic | 601 S Shore Dr, Unit 121, Battle Creek, MI 49014-5440 | |
| Lisa Y Ottenhoff | Clinical Social Worker | Comforts of Home Counseling and Care Management LLC | 391 S Shore Dr, Suite 214, Battle Creek, MI 49014-5446 |
| Dawn R Lowrance | Clinical Social Worker | Comforts of Home Counseling and Care Management LLC | 391 S Shore Dr, Suite 214, Battle Creek, MI 49014-5446 |
| Find all physicians in zip 49014 | |||
| City | BATTLE CREEK |
| Zip Code | 49014 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BATTLE CREEK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark R Henry.
| 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.