DR. PATRICE A. MCKENNEY (NPI# 1134106180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134106180 |
Entity Type | Individual |
Full Name | DR. PATRICE A. MCKENNEY |
Credential | MD |
Practice Address |
775 Norman Dr Lebanon PA 17042-7497 |
Practice Telephone | 7172745500 |
Practice Fax Number | 7172020130 |
Mailing Telephone | 7172745500 |
Mailing Fax Number | 7172020130 |
Enumeration Date | 2005-12-29 |
Last Update Date | 2017-01-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD422004 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0019629830001 | 05 | |
PA | RAILROAD | PO1730089 | 01 |
Street Address |
775 NORMAN DR |
City | LEBANON |
State | PA |
Zip Code | 17042-7497 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528045630 | Andrew P. Chodos | Internal Medicine | 775 Norman Dr, Lebanon, PA 17042-7497 | 2005-12-29 |
1013434356 | Neil Baksh | Nurse Practitioner | 775 Norman Dr, Lebanon, PA 17042-7497 | 2017-08-28 |
1578012977 | Terra Sholley | Nurse Practitioner | 775 Norman Dr, Lebanon, PA 17042-7497 | 2016-09-26 |
1427504679 | Edward Donley | Nurse Practitioner | 775 Norman Dr, Lebanon, PA 17042-7497 | 2016-08-28 |
1417305335 | Nisha Gupta | Nurse Practitioner | 775 Norman Dr, Lebanon, PA 17042-7497 | 2016-06-01 |
1033590765 | Alexis Marie Campbell | Physician Assistant | 775 Norman Dr, Lebanon, PA 17042-7497 | 2015-06-18 |
1417363839 | Adam Michael Shipe | Internal Medicine | 775 Norman Dr, Lebanon, PA 17042-7497 | 2014-07-07 |
1194162628 | Brendan R Garrett | Physician Assistant | 775 Norman Dr, Lebanon, PA 17042-7497 | 2013-05-23 |
1194068064 | Adrienne S Topic | Internal Medicine | 775 Norman Dr, Lebanon, PA 17042-7497 | 2013-03-29 |
1285900449 | Todd Lecher | Internal Medicine | 775 Norman Dr, Lebanon, PA 17042 | 2012-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
Find all providers in zip 17042 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114258084 | Jose Nicolas Sayson | Internal Medicine | 1661 Northfield Dr, Lebanon, PA 17042-6422 | 2010-01-16 |
1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
1578677761 | Mid-south Cardiology | Internal Medicine | 1423 W. Baddour Pkwy, Lebanon, TN 37087 | 2006-08-18 |
1790739480 | Edward A Harlamert | Internal Medicine | 2505 N Lebanon St Ste 201, Lebanon, IN 46052-8611 | 2006-05-19 |
1528045630 | Andrew P. Chodos | Internal Medicine | 775 Norman Dr, Lebanon, PA 17042-7497 | 2005-12-29 |
1104824945 | Terry W Bushnell | Internal Medicine | 2505 N Lebanon St Ste 200, Lebanon, IN 46052-8611 | 2005-07-13 |
1396131397 | Spencer David Liu | Internal Medicine | 1 Medical Dr, Dhmc Department of Cardiovascular Disease, Lebanon, NH 03756 | 2015-04-07 |
1568856482 | Kazim Aykent | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock - Heart & Vascular Center, Lebanon, NH 03756 | 2015-03-28 |
1407291495 | Stanislav Henkin | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2013-05-03 |
1770926735 | Daniel Robert Storms | Internal Medicine | 1 Medical Center Dr, Cardiology, Lebanon, NH 03756-0001 | 2013-04-09 |
Find all providers in LEBANON |
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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.