THOMAS W HENNESSY (NPI# 1104036490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104036490 |
| Entity Type | Individual |
| Full Name | THOMAS W HENNESSY |
| Credential | MD |
| Practice Address |
4315 Diplomacy Dr Anchorage AK 99508-5926 |
| Practice Telephone | 9075632662 |
| Mailing Telephone | 9075632662 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
4281 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD7759 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174737928 | Thomas Hennessy | Chiropractor | 224 Middle Road, Unit 1, Hazlet, NJ 07730 | 2007-05-10 |
| 1114014610 | Thomas N Hennessy | Specialist | 10537 State Road 54, New Port Richey, FL 34655-2275 | 2006-10-06 |
| Street Address |
4315 DIPLOMACY DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509669 | Steven James Denson | Chiropractor | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2005-06-27 |
| 1982202156 | Christina Eldridge | Pharmacist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-10-11 |
| 1699393132 | Southcentral Foundation | Dentist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-07-10 |
| 1699304725 | Meghan Ballard | Occupational Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-04-01 |
| 1922633650 | Laura Cantrell | Student in an Organized Health Care Education/Training Program | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-03-03 |
| 1609416064 | Matthew Wade | Nurse Anesthetist, Certified Registered | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-01-13 |
| 1407494677 | Michael Bruce | Preventive Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-12-18 |
| 1336787993 | Korin Scott | Occupational Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-12-13 |
| 1215578422 | Andrew James Baker | Registered Nurse | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-09-30 |
| 1861042749 | Anthony Martin | Physical Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851632202 | Ward B Hurlburt | Preventive Medicine | 17901 Spain Dr, Anchorage, AK 99516-5714 | 2013-03-11 |
| 1962600288 | Michael Warren Martin | Preventive Medicine | 4412 Ames Ave, Anchorage, AK 99508-1702 | 2007-07-08 |
| 1407494677 | Michael Bruce | Preventive Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-12-18 |
| 1245523257 | Joseph Mclaughlin | Preventive Medicine | 3601 C St Ste 540, Anchorage, AK 99503-5932 | 2011-05-24 |
| 1972633782 | Thomas Richard Bender | Preventive Medicine | 1200 Airport Heights Dr, Suite 305, Anchorage, AK 99508-2943 | 2007-03-07 |
| 1770629347 | Scott Terranella | Preventive Medicine | 4020 Folker St, Anchorage, AK 99508-5321 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081263 | Scott Russell Dickinson | Preventive Medicine | 607 Division Street, Nome, AK 99762 | 2020-04-13 |
| 1508082884 | Norton Sound Health Corp | Preventive Medicine | 306 W 5th, Nome, AK 99762 | 2007-04-17 |
| 1639220288 | Amelia Lopez | Preventive Medicine | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2007-01-12 |
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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.