DR. THOMAS J MCKENNA (NPI# 1063724490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063724490 |
| Entity Type | Individual |
| Full Name | DR. THOMAS J MCKENNA |
| Credential | M.D. |
| Practice Address |
825 Old Lancaster Rd Suite 320 Bryn Mawr PA 19010-3231 |
| Practice Telephone | 6105259570 |
| Practice Fax Number | 6105270334 |
| Mailing Telephone | 6105259570 |
| Mailing Fax Number | 6105270334 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD438041 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1030956550001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760430714 | Thomas G Mckenna | Dentist | 202 West Main Street, Delcambre, LA 70528 | 2006-05-04 |
| 1932519451 | Thomas Mckenna | Counselor | 8606 N 11600 W, Thatcher, UT 84337-9103 | 2014-05-06 |
| 1932221066 | Thomas Earl Mckenna Jr. | Dentist | 1055 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2007-04-06 |
| 1194897108 | Thomas Francis Mckenna Jr. | Psychologist | 1200 Eubank Blvd Ne, Albuquerque, NM 87112 | 2006-11-14 |
| Street Address |
825 OLD LANCASTER RD SUITE 320 |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578629 | Glenn Harper | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2005-06-16 |
| 1508339763 | Kayla Siobhan Mcdaid | Physician Assistant | 825 Old Lancaster Rd, Bryn Mawr, PA 19010-3231 | 2019-01-09 |
| 1699267443 | Renee Marie Michels | Registered Nurse | 825 Old Lancaster Rd, Bryn Mawr, PA 19010-3231 | 2018-06-06 |
| 1841749769 | Kelly Quaile | Physical Therapist | 825 Old Lancaster Rd, Suite 250, Bryn Mawr, PA 19010-3231 | 2016-10-04 |
| 1356899868 | Jaime Victoria Wagner | Speech-Language Pathologist | 825 Old Lancaster Rd, Suite 250, Bryn Mawr, PA 19010-3231 | 2016-09-13 |
| 1366999732 | Mark Malczynski | Physical Therapist | 825 Old Lancaster Rd, Suite 250, Bryn Mawr, PA 19010-3231 | 2016-09-02 |
| 1467813154 | Nicole Costa | Nurse Practitioner | 825 Old Lancaster Rd, Suite 340, Bryn Mawr, PA 19010-3231 | 2016-03-09 |
| 1972969426 | Kristina Keegan Bonesteel | Nurse Practitioner | 825 Old Lancaster Rd, Suite 440, Bryn Mawr, PA 19010-3231 | 2016-01-13 |
| 1154794543 | Angela Helene Lenzo | Physical Therapist | 825 Old Lancaster Rd, Bryn Mawr, PA 19010-3231 | 2015-11-06 |
| 1821461435 | Nicole Bartoshesky | Physician Assistant | 825 Old Lancaster Rd, Suite 420, Bryn Mawr, PA 19010-3231 | 2015-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225054398 | Robert Levitt | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2006-07-14 |
| 1225053465 | Jeffrey N. Retig | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2006-07-12 |
| 1023049400 | Robert R Atkins | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2006-07-05 |
| 1487685079 | Toan Nguyen | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2006-07-05 |
| 1891725891 | Jack A. Collazzo | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060707 | Gastrointestinal Wellness Clinic LLC | Internal Medicine | 301 Oxford Valley Rd # Units804, Yardley, PA 19067-7706 | 2018-10-29 |
| 1003394545 | Lyanne Marie Caraballo | Internal Medicine | 1000 Integrity Dr Ste 110, Pittsburgh, PA 15235-3332 | 2018-08-06 |
| 1073047205 | Margaret Spinosa | Internal Medicine | 1627 Chew St Ste 101, Allentown, PA 18102-3648 | 2017-04-14 |
| 1881131472 | Paul Frey Spears | Internal Medicine | 490 Shady Dell Rd, York, PA 17403-4483 | 2017-01-20 |
| 1801258686 | Wai Kan Chiu | Internal Medicine | 200 Lothrop Street, Mezzanine Level, C-wing, Puh, Pittsburgh, PA 15213 | 2016-03-22 |
| 1598189631 | Richard B. Lynn | Internal Medicine | 204 Rhyle Ln, Bala Cynwyd, PA 19004-2324 | 2014-02-10 |
| 1427390822 | Meeta Desai | Internal Medicine | Gastroenterology & Hepatology, M.c. Hu33, 500 University Drive, Hershey, PA 17033-0850 | 2013-03-23 |
| 1225372519 | Scott Howell Wright | Internal Medicine | 1118 Riverview Ln, Conshohocken, PA 19428-2964 | 2012-11-27 |
| 1952665481 | Excela Health Physician Practices, Inc. | Internal Medicine | 530 South St Ste G, Greensburg, PA 15601-2775 | 2012-06-29 |
| 1033479704 | William Blake Huntington | Internal Medicine | 1088 W Baltimore Pike Ste 2407, Media, PA 19063 | 2012-05-29 |
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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.