DAVID W HENNESSY


Address: 4602 Eastpark Blvd, Madison, WI 53718
Phone: 6082637540

DAVID W HENNESSY (NPI# 1528346756) 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) 1528346756
Entity Type Individual
Full Name DAVID W HENNESSY
Credential M.D.
Practice Address 4602 Eastpark Blvd
Madison
WI 53718
Mailing Address 7974 Uw Health Ct
Middleton
WI 53562-5531
Practice Telephone 6082637540
Enumeration Date 2011-07-21
Last Update Date 2018-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 60326-20 WI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4602 EASTPARK BLVD
City MADISON
State WI
Zip Code 53718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619944238 Douglas B Chapman Internal Medicine 4602 Eastpark Blvd, Madison, WI 53718-2002 2006-03-02
1790383321 Kelli M Notaro Nurse Practitioner 4602 Eastpark Blvd, Madison, WI 53718-2002 2020-10-15
1346865581 Bethany A. Meyering Anesthesiologist Assistant 4602 Eastpark Blvd, Madison, WI 53718-2002 2020-06-13
1831713726 Rachael Makamae Maguire Physical Therapist 4602 Eastpark Blvd, Madison, WI 53718-2002 2020-06-05
1619590726 Amanda S. Phillips Psychologist 4602 Eastpark Blvd, Madison, WI 53718-2002 2020-05-22
1699301143 Stephanie Chang Pharmacist 4602 Eastpark Blvd, Madison, WI 53718-2002 2020-03-17
1154967123 Bailey Elizabeth Higby Nurse Practitioner 4602 Eastpark Blvd, Madison, WI 53718-2002 2019-11-25
1538716725 Jessica Lynn Flood Orthopaedic Surgery 4602 Eastpark Blvd, Madison, WI 53718-2002 2019-08-22
1619524071 Ella Cait Husom Specialist/Technologist 4602 Eastpark Blvd, Madison, WI 53718-2002 2019-08-21
1386296853 Olivia Rowland Physical Therapist 4602 Eastpark Blvd, Madison, WI 53718-2002 2019-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475607 Suchart Thammahong Pharmacist 734 Mclean Drive, Madison, Wi, WI 53718 2020-10-21
1780033431 Elizabeth C Armstrong Registered Nurse 2810 Crossroads Dr Ste 4000, Madison, WI 53718 2016-06-03
1811356926 Quirt Family Dentistry, Sc Dentist 6038 Gemini Drive, Madison, WI 53718 2016-02-17
1831583145 Madison Rehabilitation Hospital, LLC Rehabilitation Hospital 5115 N Biltmore Ln, Madison, WI 53718 2015-03-25
1972919959 Hannah E Kussler Physician Assistant The American Center, 4602 Eastpark Blvd, Madison, WI 53718 2014-07-10
1104187079 Kaitlin Hellenbrand Occupational Therapist 5249 East Terrace Drive, Madison, WI 53718 2012-06-06
1003172800 Wisconsin Hyperbaric Oxygen LLC Clinic/Center 4660 S Biltmore Lane, Madison, WI 53718 2012-04-05
1801022850 Justin Robert Bangert Marriage & Family Therapist 5310 Wall St., Ste #500, Madison, WI 53718 2009-06-04
1427292275 Jane Louise Stroede Physical Therapy Assistant 2802 Walton Commons West, Madison, WI 53718 2009-04-23
1003060658 Candace Leigh Pantoga Occupational Therapist 3030 City View Drive, City View Nursing Home, Madison, WI 53718 2008-11-10
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477015931 Multiple Care of Wi II, LLC Orthopaedic Surgery 8040 Excelsior Dr Ste 400, Madison, WI 53717-2915 2019-04-03
1891051538 Walker Flannery Orthopaedic Surgery Uw Hospitals and Clinics 600 Highland Ave H4, Madison, WI 53792-0001 2012-04-06
1124398581 Andrew Peter Saunders Orthopaedic Surgery 1849 Haines Rd, Madison, OH 44057-1716 2012-01-03
1225293137 Kenneth H. Yuska, Md, Sc Orthopaedic Surgery 4726 East Towne Blvd., 110, Madison, WI 53715 2008-07-21
1215191911 Eugene Jorgen Nordby Orthopaedic Surgery 7824 Courtyard Dr, Madison, WI 53719-3517 2008-07-11
1245376078 Orthopedic Associates of Lake Co Inc Orthopaedic Surgery 6550 N Ridge Rd, Suite 201, Madison, OH 44057-2552 2007-01-29
1316036957 Lloyd Franklin Mercer Orthopaedic Surgery 303 Grayling Blvd, Madison, MS 39110-7385 2006-10-12
1760414478 Kenneth H. Yuska Orthopaedic Surgery 4726 E Towne Blvd, Suite 110, Madison, WI 53704-7429 2006-07-06
1952353328 Ronald P Guiao Orthopaedic Surgery 600 Highland Ave., Madison, WI 53792 2006-05-16
1437114121 Ben K Graf Orthopaedic Surgery 135 N Prospect Ave, Madison, WI 53726-4069 2006-04-18
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Competitor

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City MADISON
Zip Code 53718

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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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