National Provider Identifier
Mark W Hennon, MD
Mark W Hennon, MD is listed in the NPPES registry with a primary specialty of Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1124108998
- Provider Type
- Individual
- Primary Specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Enumeration Date
- October 16, 2006
- Last Updated
- February 24, 2022
Practice Location
- Elm And Carlton St
- Cancer Center Ground Floor
- Buffalo, NY 14263
Phone: (716) 845-2300
Specialties
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
Full Record
- NPI
- 1124108998
- Entity Type
- Individual
- Last Name
- Hennon
- First Name
- Mark
- Middle Name
- W
- Credential
- MD
- Mailing Street Address
- Elm And Carlton St
- Mailing Address Line 2
- Cancer Center Ground Floor
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14263
- Mailing Country
- US
- Mailing Phone
- (716) 845-2300
- Practice Street Address
- Elm And Carlton St
- Practice Address Line 2
- Cancer Center Ground Floor
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Enumeration Date
- October 16, 2006
- Last Updated
- February 24, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
- Other Identifiers
- 03226262 (NY)