Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark W Hennicke, PA-C

Individual provider Medical Physician Assistant · NPI 1487611307

Mark W Hennicke, PA-C is a Physician Assistant in Greensburg, Pennsylvania. Qualified in 1998, 28 years ago. Practices with Jefferson Cardiology Assocation, an 11-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
28
Licensed in
PA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

530 S St Second Fl
Greensburg, PA 15601-2775
Phone: (724) 689-1358
Fax: (724) 689-0547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA002773L (PA)

Record details

NPI number1487611307
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESNovember 17, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Jefferson Cardiology Assocation — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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