DR. JACKIE WAYNE TENNEY (NPI# 1073554820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073554820 |
| Entity Type | Individual |
| Full Name | DR. JACKIE WAYNE TENNEY |
| Credential | MD |
| Practice Address |
6400 Prospect Ave Suite 646 Kansas City MO 64132-1100 |
| Mailing Address |
6501 E 87th St Kansas City MO 64138-2732 |
| Practice Telephone | 8164448400 |
| Practice Fax Number | 8164448407 |
| Mailing Telephone | 8164448400 |
| Mailing Fax Number | 8164448407 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | R7F09 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
6400 PROSPECT AVE SUITE 646 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64132-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554863 | Susan L Narrell | Registered Nurse | 6400 Prospect Ave, Suite 310, Kansas City, MO 64132-1100 | 2005-08-09 |
| 1215317664 | Christina Garcia | Nurse Practitioner | 6400 Prospect Ave, Suite 346, Kansas City, MO 64132-1100 | 2015-06-01 |
| 1578968368 | Partners In Rehab Medicine | Physical Medicine & Rehabilitation | 6400 Prospect Ave, Suite 346, Kansas City, MO 64132 | 2014-10-23 |
| 1649617192 | Lisa Helberg | Nurse Practitioner | 6400 Prospect Ave, Suite 382, Kansas City, MO 64132-1100 | 2013-05-23 |
| 1023329349 | Maria L Hapke | Nurse Practitioner | 6400 Prospect Ave, Suite 598, Kansas City, MO 64132-1100 | 2010-07-01 |
| 1346562097 | Midwest Womens Healthcare Specialists LLC | Obstetrics & Gynecology | 6400 Prospect Ave, Suite 598, Kansas City, MO 64132-1100 | 2010-02-23 |
| 1588896526 | Tasanaporn Pitiyanuvath, M.d. L.L.C. | Clinic/Center | 6400 Prospect Ave, Suite # 208, Kansas City, MO 64132-1100 | 2009-08-09 |
| 1497906465 | Brenna Deann Johnston | Nurse Practitioner | 6400 Prospect Ave, Suite 480, Kansas City, MO 64132-1100 | 2008-10-08 |
| 1417105065 | Lindsay Lane Hertzig | Urology | 6400 Prospect Ave, Suite 228, Kansas City, MO 64132-1100 | 2008-09-08 |
| 1235393364 | Victoria Fagan Park | Registered Nurse | 6400 Prospect Ave, Ste 310, Kansas City, MO 64132-1100 | 2008-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407245681 | Fit 2 Fight Training, LLC | Student in an Organized Health Care Education/Training Program | 4228 E 68th Street, Kansas City, MO 64132 | 2015-01-12 |
| 1811309453 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2330 E Meyer Blvd Ste 103, Kansas City, MO 64132 | 2014-06-02 |
| 1255628848 | Jeffrey D Markey | Otolaryngology | 2330 E Meyer Blvd Ste T104, Kansas City, MO 64132 | 2011-07-01 |
| 1699926352 | Andrew Colbert Lueder | Physical Medicine & Rehabilitation | 6400 Prospect #346, Kansas City, MO 64132 | 2008-09-30 |
| 1689835084 | Bangalore V Deepak | Internal Medicine | 6420 Prospect Ave Ste T101, Kansas City, MO 64132 | 2008-06-19 |
| 1659453546 | Kristine D Mall | Nurse Practitioner | 2330 E Meyer Blvd Ste 101, Kansas City, MO 64132 | 2006-10-19 |
| 1659474138 | James W Rosher | Anesthesiology | 1800 East Meyer Blvd, Kansas City, MO 64132 | 2006-09-07 |
| 1306949599 | Irena Dobrowolski | Nurse Anesthetist, Certified Registered | 1800 E Meyer Blvd, Kansas City, MO 64132 | 2006-09-06 |
| 1548299621 | Frederic L Seligson | Specialist | 2340 E. Meyer Blvd, Bldg 2, Suite 382, Kansas City, MO 64132 | 2006-07-01 |
| 1063458610 | Midwest Radiology Inc | Specialist | 2316 East Meyer Blvd., Research Hospital, Kansas City, MO 64132 | 2006-06-21 |
| Find all providers in zip 64132 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780430 | Jane Reardon | Pediatrics | 8140 Ward Pkwy Ste 275, Kansas City, MO 64114-2032 | 2019-06-26 |
| 1326548579 | Clarissa Ryan Gillen | Pediatrics | 9140 Ward Pkwy Ste 201, Kansas City, MO 64114-3327 | 2018-02-14 |
| 1306363858 | Children's Mercy - Redwood Pediatrics | Pediatrics | 9151 Ne 81st St, Suite 240, Kansas City, MO 64158-1307 | 2017-08-25 |
| 1811438013 | Lauren Hughes | Pediatrics | 2870 W 47th Ave, Kansas City, KS 66103-3243 | 2017-03-20 |
| 1033592795 | Kubra Melike Bozkanat | Pediatrics | University of Kansas Hospital Pediatrics, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160-0001 | 2015-06-30 |
| 1821417965 | Angela Kay Linz | Pediatrics | 4400 Broadway Ste 206, Kansas City, MO 64111-3342 | 2014-04-15 |
| 1669890620 | Michelle Marie Knoll | Pediatrics | 3101 Broadway Blvd Ste 900, Kansas City, MO 64111 | 2014-04-06 |
| 1477971141 | Michael Bradley Nelson | Pediatrics | 2000 Olathe # 3b, Kansas City, KS 66160-2620 | 2014-03-31 |
| 1104243245 | Kelstan Lynch Ellis | Pediatrics | University of Kansas Pediatrics Residency, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160 | 2014-03-26 |
| 1215374244 | Jennifer Isham | Pediatrics | 1004 Carondelet Dr Ste 310, Kansas City, MO 64114-4801 | 2013-05-31 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64132 |
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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.