KATHRYN R. HENNESSEY (NPI# 1649215971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649215971 |
| Entity Type | Individual |
| Full Name | KATHRYN R. HENNESSEY |
| Credential | DO |
| Practice Address |
119 Shoemaker Rd Pottstown PA 19464-6429 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 6104274919 |
| Practice Fax Number | 6104896418 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS007723L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE MERCY | 30019705 | 01 |
| PA | HEALTH PARTNERS | 16452-OS007723L | 01 |
| PA | RRM | P00186614 | 01 |
| PA | AMERIHEALTH/INTERCOUNTY | 0279841000 | 01 |
| PA | CAQH ID# | 10928555 | 01 |
| PA | AETNA PPO | 4358937 | 01 |
| PA | IBC - PC/KHPE | 0279841000 | 01 |
| PA | 0013910420002 | 05 | |
| PA | CIGNA HMO/PPO | 1089445 | 01 |
| PA | HIGHMARK BLUE SHIELD | 195050 | 01 |
| Street Address |
119 SHOEMAKER RD |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464-6429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952363681 | Linda Elaine Donath | Physician Assistant | 119 Shoemaker Rd, Pottstown, PA 19464-6429 | 2006-04-06 |
| 1861945941 | Bryan William Frank | Physician Assistant | 119 Shoemaker Rd, Pottstown, PA 19464-6429 | 2016-07-26 |
| 1184081416 | Megan Elizabeth Milligan | Physician Assistant | 119 Shoemaker Rd, Pottstown, PA 19464-6429 | 2016-01-17 |
| 1093137044 | Patient First Pennsylvania Medical Group | Non-Pharmacy Dispensing Site | 119 Shoemaker Rd, Pottstown, PA 19464-6429 | 2014-01-10 |
| 1649424854 | Arlyn Boachie-panford | Physician Assistant | 119 Shoemaker Rd, Pottstown, PA 19464-6429 | 2008-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436338 | Sara Majeed | Family Medicine | 351 W Schuylkill Rd Ste G15-a, Pottstown, PA 19465-7438 | 2017-06-08 |
| 1487075826 | Patient First Pennsylvania Medical Group Pllc | Family Medicine | 119 Shoemaker Road, Pottstown, PA 19464-6429 | 2014-01-03 |
| 1871715771 | Jacek Zdzislaw Obara | Family Medicine | 11 Robinson St Ste 100, Community Health and Dental Care, Pottstown, PA 19464-6421 | 2007-05-02 |
| 1033234133 | Brookside Family Practice & Pediatrics | Family Medicine | 1555 Medical Drive, Pottstown, PA 19464 | 2007-03-20 |
| 1104828672 | Sharon J Fleischer | Family Medicine | 1555 Medical Dr, Pottstown, PA 19464-3224 | 2005-08-12 |
| 1760484539 | Pottstown Hospital Company LLC | Family Medicine | 730 S Hanover St, Pottstown, PA 19465-7520 | 2005-08-11 |
| 1528061090 | Gregory George Hill | Family Medicine | 1600 E High St, Pottstown, PA 19464-5008 | 2005-05-27 |
| 1164932430 | Pottstown Hospital, LLC | Family Medicine | 730 S Hanover St, Pottstown, PA 19465-7520 | 2017-10-02 |
| 1376905745 | Kyle Erik Davis | Family Medicine | 1600 E High St, Pottstown, PA 19464-5008 | 2016-03-24 |
| 1730518564 | Tri-county Hospitalists, LLC | Family Medicine | 1600 E High St, Pottstown Memorial Hospital, Pottstown, PA 19464-5008 | 2013-11-02 |
| Find all providers in POTTSTOWN | ||||
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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.