John M Mckenna in Worcester - Internal Medicine

John M Mckenna - NPI 1417051715

John M Mckenna is a Internal Medicine in Worcester, Massachusetts. John M Mckenna practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John M Mckenna is 1417051715. The last update date is 2007-07-08.

John M Mckenna's current location address is 425 North Lake Ave, Worcester, Massachusetts. You can contact this provider via phone number 5085952513 and fax number 5088540822. The mailing address for John M Mckenna is 425 North Lake Ave, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name John M Mckenna
Address 425 North Lake Ave, Worcester, Massachusetts
Phone Number 5085952513
Fax Number 5088540822
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1417051715
Provider Enumeration Date 2006-09-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 425 North Lake Ave
City Worcester
State Massachusetts (MA)
Post Code 1605
Phone Number 5085952513
Fax Number 5088540822

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 37188
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
W10105401 CIGNA HEALTH PLAN
400980 EVERCARE
917962 FIRST HEALTH
E09004 BLUE CROSS
3100448 MA --
3548152 CIGNA HEALTH PLAN
9410342002 CIGNA HEALTH PLAN
3100448 MEDICAID WELFARE

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FAQs about John M Mckenna

What is the unique 10-digit identifier code issued to John M Mckenna by the Centers for Medicare & Medicaid Services?

The John M Mckenna has been assigned the NPI (National Provider Identifier) 1417051715 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of John M Mckenna?

The John M Mckenna is physically situated at 425 North Lake Ave, in the city of Worcester, state of MA, with the postal code 1605.

What is John M Mckenna's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for John M Mckenna is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

When did John M Mckenna receive its 1417051715 assignment?

The John M Mckenna was assigned its 1417051715 on 2006-09-08, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding John M Mckenna, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John M Mckenna, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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