AMY MAUREEN HENNESSY (NPI# 1205088960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205088960 |
| Entity Type | Individual |
| Full Name | AMY MAUREEN HENNESSY |
| Credential | MD |
| Practice Address |
6668 Fourth Section Rd Ste 500 Brockport NY 14420 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5856372670 |
| Practice Fax Number | 5856373678 |
| Mailing Telephone | 5856372670 |
| Mailing Fax Number | 5856373678 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 300384 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6845 Elm St, Suite 600, Mc Lean, VA 221016007 | 7037489880 | 7037487123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629403134 | Amy Jo Hennessy | Physician Assistant | 5951 Renaissance Pl, Toledo, OH 43623 | 2013-09-04 |
| 1780892836 | Amy Lewis Hennessy | Ophthalmology | 250 River Rd, Manchester, NH 03104-2423 | 2007-05-21 |
| Street Address |
6668 FOURTH SECTION RD STE 500 |
| City | BROCKPORT |
| State | NY |
| Zip Code | 14420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
| 1174012785 | Penny Bowers | Massage Therapist | 27 Market Street, Upstairs, Brockport, NY 14420 | 2018-05-09 |
| 1386172062 | Allison Manly | Dentist | 1000 Transit Way, Brockport, NY 14420 | 2017-05-25 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| 1972853653 | Theresa Fox Lehman | Specialist | 32 Mission Hill Drive, Brockport, NY 14420 | 2012-09-11 |
| 1689946303 | Beverly Whiteman | Registered Nurse | 40 Allen St., Brockport, NY 14420 | 2012-01-27 |
| 1316217425 | Julie Ann Knapp | Registered Nurse | 40 Allen Street, Brockport Central School District, Brockport, NY 14420 | 2012-01-05 |
| 1851678965 | Jennifer Anne Cohen | Registered Nurse | 188 Utica Street, Brockport, NY 14420 | 2011-11-03 |
| 1053454884 | Nancy S Iafrati | Nurse Practitioner | Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 | 2007-02-14 |
| 1649319401 | Wal-mart Stores, East, Lp | Technician/Technologist | 6265 Spencerport Rd, Brockport, NY 14420 | 2007-02-06 |
| Find all providers in zip 14420 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235146853 | Robert C Boon | Obstetrics & Gynecology | 156 West Ave Ste 104, Brockport, NY 14420-1229 | 2006-08-03 |
| 1205863065 | Donald Clarke | Obstetrics & Gynecology | 6565 Fourth Section Road, Suite 500, Brockport, NY 14420 | 2006-06-27 |
| 1417180852 | Sanjay Samuel | Obstetrics & Gynecology | 156 West Ave, Brockport, NY 14420-1229 | 2009-09-02 |
| 1851536957 | Oak Orchard Community Health Center | Obstetrics & Gynecology | 156 West Ave, Brockport, NY 14420-1229 | 2008-12-04 |
| 1548453368 | Oak Orchard Community Health Center, Inc. | Obstetrics & Gynecology | 156 West Ave, Suite 104, Brockport, NY 14420-1229 | 2007-08-24 |
| 1669682118 | Natalie Ada Bertoia | Obstetrics & Gynecology | 6668 Fourth Section Rd, Brockport, NY 14420 | 2007-05-23 |
| 1649386715 | Vanessa Eulinda Junor | Obstetrics & Gynecology | 6668 Fourth Section Road, Brockport, NY 14420 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
| Find all providers with the same taxonomy | ||||
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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.