PATRICIA JANE HENNESSY (NPI# 1205057015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205057015 |
| Entity Type | Individual |
| Full Name | PATRICIA JANE HENNESSY |
| Other Name | P J HENNESSY |
| Credential | MD |
| Practice Address |
1205 Highway 2 Suite 301 Sandpoint ID 83864-0913 |
| Mailing Address |
Po Box 2400 Sandpoint ID 83864-0913 |
| Practice Telephone | 2082659909 |
| Practice Fax Number | 2082655351 |
| Mailing Telephone | 2082659909 |
| Mailing Fax Number | 2082655351 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 7962 | ID | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4085 | MT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093034449 | Patricia J Hennessy | Physical Therapist | 100 E Marthart Ave, Havertown, PA 19083-2413 | 2010-05-25 |
| 1700019601 | Patricia H Hennessy | Occupational Therapist | 1144 Jamestown Cres, Norfolk, VA 23508-1235 | 2009-08-26 |
| Street Address |
1205 HIGHWAY 2 SUITE 301 |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-0913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| 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 |
|---|---|---|---|---|
| 1154714343 | Stephen Allen Christensen | Family Medicine | 660 Upland Dr, Sandpoint, ID 83864-7268 | 2015-03-11 |
| 1902169485 | Zachary Paul Halversen | Family Medicine | 606 N 3rd Avenue, #101, Sandpoint, ID 83864 | 2012-06-20 |
| 1922233980 | Jillian Verby Klaucke | Family Medicine | 1323 Highway 2 Ste 300, Sandpoint, ID 83864-2741 | 2009-05-20 |
| 1215106729 | Frazier King | Family Medicine | 2023 Sandpoint West Drive, Sandpoint, ID 83864 | 2008-02-28 |
| 1629138656 | Doc-side Medical Group PC | Family Medicine | 502 N 2nd Ave, Suite A, Sandpoint, ID 83864-1558 | 2006-12-11 |
| 1417985029 | Kenneth Conger | Family Medicine | 495 Firestone Ln, Sandpoint, ID 83864-7596 | 2006-06-30 |
| 1215900865 | Timothy Ray Bonine | Family Medicine | 1309 Ponderosa Dr, Suite 103, Sandpoint, ID 83864-8278 | 2006-02-13 |
| 1760452049 | Jeremy J Waters | Family Medicine | 606 N 3rd Ave, Suite 101, Sandpoint, ID 83864-1594 | 2006-01-26 |
| 1346232428 | Frazier King | Family Medicine | 2023 Sandpoint West Dr, Sandpoint, ID 83864-7304 | 2005-08-16 |
| 1952308405 | Scott Ronald Dunn | Family Medicine | 606 N Third Ave, Suite #101, Sandpoint, ID 83864-1594 | 2005-06-30 |
| Find all providers in SANDPOINT | ||||
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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.