JEFFREY A MCKENNA (NPI# 1609812296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609812296 |
| Entity Type | Individual |
| Full Name | JEFFREY A MCKENNA |
| Credential | M.D. |
| Practice Address |
5110 E Warner Rd Suite 100 Phoenix AZ 85044-3367 |
| Practice Telephone | 4807531459 |
| Practice Fax Number | 4807535311 |
| Mailing Telephone | 4807531459 |
| Mailing Fax Number | 4807535311 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2012-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 20965 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BC PROVIDER ID | AZ0866580 | 01 |
| AZ | 152538 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396713780 | Jeffrey K Mckenna | Dermatology | 100 Deerpath, Charleston, IL 61920-9427 | 2006-03-10 |
| 1568723070 | Jeffrey Ross Mckenna | Registered Nurse | 225 Penn Ave, Wilkinsburg, PA 15221-2148 | 2012-05-31 |
| Street Address |
5110 E WARNER RD SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114996469 | James Y Chuang | Otolaryngology | 5110 E Warner Rd, Suite 100, Phoenix, AZ 85044-3367 | 2006-03-17 |
| 1720430291 | Diana Warncke | Audiologist | 5110 E Warner Rd, Ste 100, Phoenix, AZ 85044-3367 | 2016-07-08 |
| 1295117562 | Kristina Garza | Audiologist | 5110 E Warner Rd, Ste 100, Phoenix, AZ 85044-3367 | 2015-06-23 |
| 1558793141 | David Kenneth Legar | Acupuncturist | 5110 E Warner Rd, Suite # 201, Phoenix, AZ 85044-3367 | 2013-08-06 |
| 1912284159 | Trisha M Munoz | Audiologist | 5110 E Warner Rd, Ste 100, Phoenix, AZ 85044-3367 | 2011-11-15 |
| 1407040009 | Yvonne Lee Richardson | Otolaryngology | 5110 E Warner Rd, Suite 100, Phoenix, AZ 85044-3367 | 2007-08-28 |
| 1538281522 | Lynnette Lambert | Nurse Practitioner | 5110 E Warner Rd, Suite 210, Phoenix, AZ 85044-3367 | 2007-04-03 |
| 1053358085 | Matthew G Hooper | Chiropractor | 5110 E Warner Rd, Ste 201, Phoenix, AZ 85044-3370 | 2006-05-31 |
| 1184684607 | Howard S Snider | Dentist | 5110 E Warner Rd, Suite 250, Phoenix, AZ 85044-3367 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497277768 | Brent Allen Chang | Otolaryngology | 5777 E Mayo Blvd Dept Of, Phoenix, AZ 85054-4502 | 2017-07-08 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1770727323 | John Tyler French | Otolaryngology | 1010 E Mcdowell Rd Ste 200, Phoenix, AZ 85006-2608 | 2009-04-27 |
| 1366619405 | Max Lindbergh Wertz | Otolaryngology | 1516 E Hamblin Dr, Phoenix, AZ 85050 | 2008-05-08 |
| 1790971307 | Arizona Sinus and Ent Associates PC | Otolaryngology | 1515 N 9th Street B, Phoenix, AZ 85006-2523 | 2007-09-18 |
| 1912113085 | Joseph Ahlstrom Chiara | Otolaryngology | 3806 East Bell Road, Suite 5800, Phoenix, AZ 85032-2160 | 2007-05-15 |
| 1902018831 | James Chuang PC | Otolaryngology | 5110 E Warner Rd Ste 210, Phoenix, AZ 85044 | 2007-05-04 |
| 1861561011 | Jose L Robledo | Otolaryngology | 15835 S 46th St, Suite 132, Phoenix, AZ 85048-0446 | 2006-11-06 |
| 1043238744 | Charles R Orozco | Otolaryngology | 4250 E Camelback, Suite K-250, Phoenix, AZ 85018-8301 | 2006-07-18 |
| 1447293659 | Su Cherl Lee | Otolaryngology | 3827 Blenheim Rd, Phoenix, MD 21131-2101 | 2006-06-14 |
| Find all providers in PHOENIX | ||||
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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.