DR. WILLIAM J HENNESSY (NPI# 1619184157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619184157 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM J HENNESSY |
| Credential | M.D. |
| Practice Address |
276 International Circle San Jose CA 95119-1197 |
| Mailing Address |
276 International Circle 3rd Floor San Jose CA 95119-1197 |
| Practice Telephone | 4083634525 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | C25212 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356878557 | William Hennessy | Counselor | 110 Reading Ave, Jonesville, MI 49250-1136 | 2017-05-18 |
| 1114922309 | William T. Hennessy | Urology | 51-53 Kenosia Ave, Danbury, CT 06810-4015 | 2005-06-15 |
| Street Address |
276 INTERNATIONAL CIRCLE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376534008 | Beverly J Elemen | Nurse Practitioner | 276 International Circle, San Jose, CA 95119 | 2005-11-02 |
| 1003443052 | Seethim Naicker | Student in an Organized Health Care Education/Training Program | 276 International Circle, Building 1 Suite 3500, San Jose, CA 95119-1130 | 2020-03-26 |
| 1891985578 | Celia Mercado | Obstetrics & Gynecology | 276 International Circle, Department of Ob/gyn, San Jose, CA 95119-1197 | 2007-07-27 |
| 1629106034 | Barbara H Taylor | Marriage & Family Therapist | 276 International Circle, San Jose, CA 95119 | 2007-02-28 |
| 1023175114 | Melanie Lynn Jordan | Advanced Practice Midwife | 276 International Circle, San Jose, CA 95119 | 2007-01-02 |
| 1215093208 | Theresa Lynn Brees | Social Worker | 276 International Circle, Family Health Center, San Jose, CA 95119 | 2006-12-28 |
| 1174691430 | Bao-thuong Bui | Obstetrics & Gynecology | 276 International Circle, Obgyn Department, San Jose, CA 95119 | 2006-12-02 |
| 1790852960 | Zen Jan Wang | Nurse Practitioner | 276 International Circle, San Jose, CA 95119-1197 | 2006-11-30 |
| 1891862215 | Carolyn Monica White | Nurse Practitioner | 276 International Circle, Dermatology 3rd Floor, San Jose, CA 95119-3000 | 2006-11-29 |
| 1497820393 | Leila Van Gelder | Nurse Practitioner | 276 International Circle, Kaiser Permanente Dept Obgyn, San Jose, CA 95119 | 2006-11-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568767663 | D. Thomas Urban M.d., Inc | Dermatology | 6501 Crown Blvd., Suite #106a, San Jose, CA 95120-2903 | 2011-01-20 |
| 1821312091 | Advanced Dermatology and Skin Surgery Inc | Dermatology | 4155 Moorpark Ave Ste 3, San Jose, CA 95117-1714 | 2010-03-17 |
| 1386970853 | Edward E Rotan Md Inc | Dermatology | 2016 Forest Ave Ste 5, San Jose, CA 95128-4804 | 2009-10-19 |
| 1801992847 | An Tranvan | Dermatology | 105 N Jackson Ave Ste 103, San Jose, CA 95116-1913 | 2006-09-16 |
| 1720181399 | Hong Do | Dermatology | 1692 Tully Road, Suite #9, San Jose, CA 95122 | 2006-09-07 |
| 1366477606 | Sandra T Yeh | Dermatology | 706 N Winchester Blvd, San Jose, CA 95128-1524 | 2006-07-12 |
| 1881655363 | Marie B Britz | Dermatology | 2074 Forest Ave, Suite 1, San Jose, CA 95128-4811 | 2006-03-31 |
| 1114914256 | Tom Urban | Dermatology | 6501 Crown Blvd, Suite 106a, San Jose, CA 95120-2903 | 2005-10-04 |
| 1093718546 | Mychael Luu | Dermatology | 2050 Clarmar Way, San Jose, CA 95128-1704 | 2005-05-28 |
| 1144755141 | Uberwoundcare Inc | Dermatology | 2880 Zanker Rd, Suite 203, San Jose, CA 95134-2117 | 2017-04-27 |
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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.