STEPHEN D HENNESSEY


Address: 2690 Ne Kresky Ave, Chehalis, WA 98532-2412
Phone: 3603309595

STEPHEN D HENNESSEY (NPI# 1376544098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376544098
Entity Type Individual
Full Name STEPHEN D HENNESSEY
Credential MD
Practice Address 2690 Ne Kresky Ave
Chehalis
WA 98532-2412
Practice Telephone 3603309595
Practice Fax Number 3603309560
Mailing Telephone 3603309595
Mailing Fax Number 3603309560
Enumeration Date 2005-08-03
Last Update Date 2016-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery MD00025264 WA Allopathic & Osteopathic Physicians
Y 208D00000X General Practice MD00025264 WA Allopathic & Osteopathic Physicians

Other Providers STEPHEN HENNESSEY

NPI Name Taxonomy Address Enumeration
1073568689 Stephen M Hennessey Psychologist 1468 Baker Ave, Schenectady, NY 12309-5223 2006-05-23

Office Location

Street Address 2690 NE KRESKY AVE
City CHEHALIS
State WA
Zip Code 98532-2412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386258697 Teresa Jo Ekdahl-johnson Nurse Practitioner 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2020-09-03
1700410214 Sarah Emmett Registered Nurse 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2020-02-24
1174164875 Christiaan Collier Nurse Practitioner 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2019-10-03
1275095630 Ontario O'shawn Ward Dentist 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2019-04-04
1447711833 Sheila Dawn Spears Nurse Practitioner 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2019-03-27
1861950388 Lura O'connor Nurse Practitioner 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2019-03-04
1588159149 Jon K Wiley Pharmacist 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2018-06-26
1104313378 Alma R Mowry Pharmacist 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2018-04-13
1629518113 Heather Dawn Novak Nurse Practitioner 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2017-03-02
1053859223 Warren Lloyd Hall Pharmacist 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2017-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275140832 Joshua Russell Wachter Registered Nurse 275 W. Vine St., Napavine, WA 98532 2020-09-28
1891339123 Dara Casey Technician 271-1 Romerman Rd, Chehalis, WA 98532 2019-10-30
1265997704 April D Bacongco Counselor 500 Se Washington St, Chehalis, WA 98532 2019-02-08
1235610155 Alyssa Dawn Ware Physical Therapist 1441 Kresky Ave, Chehalis, WA 98532 2018-08-28
1609365238 American Behavioral Health Systems, Inc. Substance Abuse Rehabilitation Facility 500 Se Adams Ave, Chehalis, WA 98532 2018-05-09
1043709314 Kevin Bumatay Duran Family Medicine 931 S. Market Blvd, Chehalis, WA 98532 2018-05-02
1164922324 William I. Mcmillan Counselor 121 Nw Chehalis St., Chehalis, WA 98532 2018-02-14
1285155366 Great Rivers Behavioral Health Organization Community/Behavioral Health 57 W Main Street, Suite 260, Chehalis, WA 98532 2017-06-29
1396273637 Misty Anne Glenn Counselor 121 Nw Chehalis Ave, Chehalis, WA 98532 2017-05-31
1841726221 Dodi Forgione Counselor 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 2017-05-04
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578980983 Wayne Maurice Smith General Practice 60 Ne Summit Rd., Chehalis, WA 98532 2014-03-24
1992749915 David E Little General Practice 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2006-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063971703 Source Northwest Integrative Medicine General Practice 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 2019-03-12
1255896601 Emily Christine Buck General Practice 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 2019-02-08
1740755651 Alyssa Ann Yruegas General Practice 2108 W Spruce St, Moses Lake, WA 98837-2853 2018-10-06
1306321237 Rainier Springs Physician Group, LLC General Practice 2805 Ne 129th Street, Vancouver, WA 98686 2018-09-26
1962916437 Parkview Medical Group Inc General Practice 615 S Division St Ste A, Moses Lake, WA 98837-3800 2017-11-20
1790212496 Thien Thanh Ho General Practice 12307 Douglas Rd, Yakima, WA 98908-9129 2017-05-12
1285173625 Regenerative Medicine Institute, Pllc General Practice 731 N Stanley St, Medical Lake, WA 99022-8940 2017-02-17
1457708430 James Bailey General Practice 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 2016-05-19
1740635887 Peter Chulhi Kang General Practice 1425 Spring St Apt 802, Seattle, WA 98104-1635 2016-04-26
1831551084 Anna Hackenmiller General Practice 1657 S Nettleton Ln, Spokane, WA 99224-6108 2016-03-27
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Competitor

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City CHEHALIS
Zip Code 98532

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Dataset Information

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.

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