MICHAEL B. LENNON (NPI# 1093893596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093893596 |
| Entity Type | Individual |
| Full Name | MICHAEL B. LENNON |
| Credential | MD |
| Practice Address |
412 Oak St Petaluma CA 94952-2709 |
| Practice Telephone | 7079536587 |
| Mailing Telephone | 7079536587 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G44033 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | G44033 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G440330 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720296528 | Michael James Lennon | Radiology | 2602 Buford Rd, North Chesterfield, VA 23235-3422 | 2007-05-18 |
| 1073546818 | Michael Edward Lennon | Chiropractor | 17705 Hale Ave, Suite I-3, Morgan Hill, CA 95037-4340 | 2006-07-07 |
| Street Address |
412 OAK ST |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1871710871 | Louis E Pelfini | Internal Medicine | 161 Lynch Creek Way, Petaluma, CA 94954-2343 | 2007-04-19 |
| 1942388749 | Marion L. Guyer | Internal Medicine | 905 E Washington St, Petaluma, CA 94952 | 2006-11-01 |
| 1336223320 | Amy C. Kaelin | Internal Medicine | 205 Stowring Rd, Petaluma, CA 94952-1056 | 2006-10-25 |
| 1124047311 | Gerald S. Besses | Internal Medicine | 124 Sunny Hill Dr, Petaluma, CA 94952-4749 | 2006-07-19 |
| 1295784346 | Ranadive Md Inc | Internal Medicine | 141 Lynch Creek Way Ste C, Petaluma, CA 94954-2390 | 2006-05-08 |
| 1275533887 | Thomas Owen Maloney | Internal Medicine | 108 Lynch Creek Way, #5, Petaluma, CA 94954-2357 | 2005-07-26 |
| 1972751915 | Saw Wynn Aye | Internal Medicine | 104 Lynch Creek Way, Ste 10, Petaluma, CA 94954-2355 | 2008-09-03 |
| 1245411529 | Northern California Medical Assoc Inc | Internal Medicine | 104 Lynch Creek Way, Ste 10, Petaluma, CA 94954-2355 | 2007-11-15 |
| 1316139066 | Kokeb Teshome | Internal Medicine | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 | 2007-08-16 |
| 1912109240 | Robert I Ostroff | Internal Medicine | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 | 2007-05-31 |
| Find all providers in PETALUMA | ||||
Please comment or provide details below to improve the information on MICHAEL B. LENNON.
| 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.