DANIEL T. MCKENNA (NPI# 1255389755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255389755 |
| Entity Type | Individual |
| Full Name | DANIEL T. MCKENNA |
| Credential | M.D. |
| Practice Address |
2845 Greenbrier Rd Ste 230 Green Bay WI 54311-6519 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9202888250 |
| Practice Fax Number | 9202888255 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01066803A | IN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 48301 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN | 000000624111 | 01 |
| IN | 200943060 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851621551 | Daniel Patrick Mckenna | Counselor | 1236 E St Ne, Washington, DC 20002-6338 | 2010-01-04 |
| 1497770598 | Daniel Edward Mckenna | Pediatrics | 625 6th Ave S Ste 120, St Petersburg, FL 33701 | 2006-07-12 |
| 1801861299 | Daniel J Mckenna | Otolaryngology | 15761 New Hampshire Ct, Fort Myers, FL 33908-4176 | 2006-02-21 |
| Street Address |
2845 GREENBRIER RD STE 230 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689925968 | Sarah Gottfredsen | Physician Assistant | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2012-09-26 |
| 1386970507 | Janelle L Klubertanz | Registered Nurse | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2009-10-22 |
| 1689802977 | Gregory Corbett Thom | Surgery | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2009-06-25 |
| 1326050923 | Theresa M Wrolstad | Registered Nurse | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2006-08-12 |
| 1245242999 | Catherine C Leggett | Registered Nurse | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2006-08-12 |
| 1710999495 | Anthony M Reimer | Registered Nurse | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2006-08-12 |
| 1972524601 | Jack A Swelstad | Surgery | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2006-07-21 |
| 1902834443 | Jeffery W Keller | Surgery | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2006-06-30 |
| 1376570796 | Jeffrey A Blink | Surgery | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1861437303 | Per R Anderas | Surgery | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598885303 | Sursum Corda, Sc | Surgery | 900 S. Webster Avenue, Green Bay, WI 54301 | 2007-03-29 |
| 1891808671 | New Surgical Associates Sc | Surgery | 670 Cormier Rd, Green Bay, WI 54304-4824 | 2006-08-16 |
| 1679531529 | Gope C Hotchandani | Surgery | 2771 Ramada Way, Green Bay, WI 54304-5759 | 2006-05-02 |
| 1265435853 | Cynthia L Geocaris | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-05-27 |
| 1093173791 | St. Clare Memorial Hospital, Inc. | Surgery | 900 S Webster Ave, Green Bay, WI 54301-3508 | 2016-02-09 |
| 1184038978 | Daniel Joseph Budreau | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2014-06-19 |
| 1174934806 | Humera Fatima Ahmad | Surgery | 1715 Dousman St, Green Bay, WI 54303-3211 | 2014-05-15 |
| 1104263532 | Bellin Memorial Hospital Inc | Surgery | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2013-05-24 |
| 1689010118 | Nicholas Edward Coorough | Surgery | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2013-05-10 |
| 1093096224 | Community Memorial Hospital, Incorporated | Surgery | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2011-09-01 |
| Find all providers in GREEN BAY | ||||
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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.