JOHN MCKENNA (NPI# 1316333610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316333610 |
| Entity Type | Individual |
| Full Name | JOHN MCKENNA |
| Credential | MD |
| Practice Address |
1001 Noble St Fairbanks AK 99701-4948 |
| Mailing Address |
Po Box 73720 Fairbanks AK 99707-3720 |
| Practice Telephone | 9074593500 |
| Mailing Telephone | 9074593500 |
| Mailing Fax Number | 9074593526 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 59812 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1698149 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1161 21st Ave S, R-1214 Mcn, Nashville, TN 372322521 | 6153438801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225170103 | John M Mckenna | Internal Medicine | 2201 W Tennessee Ave, Midland, TX 79701-5904 | 2007-02-13 |
| 1104825900 | John David Mckenna II | Optometrist | 1511 N Post Rd, Indianapolis, IN 46219-4247 | 2005-07-14 |
| 1699263376 | John Lynndon Mckenna | Student in an Organized Health Care Education/Training Program | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2018-04-27 |
| 1083076079 | John Joseph Mckenna | Anesthesiology | 800 W 5th Ave, Spokane, WA 99204-2803 | 2016-03-28 |
| 1174881064 | John J Mckenna | Family Medicine | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2012-04-27 |
| 1023399037 | John J Mckenna IIi | Pharmacist | 700 S Ridge Ave, Middletown, DE 19709-4649 | 2011-09-02 |
| 1205127768 | John Patrick Mckenna | Pharmacist | 1600 Main St, Follansbee, WV 26037-1259 | 2011-05-02 |
| 1487790309 | John Michael Mckenna | Dentist | 1335 S Linden Rd Ste A, Flint, MI 48532-3420 | 2007-01-29 |
| 1417051715 | John M Mckenna | Internal Medicine | 425 North Lake Ave, Worcester, MA 01605 | 2006-09-08 |
| 1578679262 | John E Mckenna | Family Medicine | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-08-22 |
| Street Address |
1001 NOBLE ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239524 | David Kent Zetterman | Family Medicine | 1001 Noble St, Fairbanks, AK 99701-4922 | 2005-07-19 |
| 1811501679 | Professional Pharmacy LLC | Pharmacy | 1001 Noble St, Fairbanks, AK 99701-4948 | 2020-08-31 |
| 1942862149 | Jaime Nicole Sawchuk | Counselor | 1001 Noble St, Fairbanks, AK 99701-4948 | 2019-07-08 |
| 1154821593 | Shelby A Braun | Dietitian, Registered | 1001 Noble St, Fairbanks, AK 99701-4948 | 2018-02-12 |
| 1417492463 | Nancy Davidian | Registered Nurse | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-12-29 |
| 1437691771 | Katie Garrity | Dietitian, Registered | 1001 Noble St, Suite 450, Fairbanks, AK 99701-4948 | 2016-11-16 |
| 1922559558 | Tanana Valley Clinic LLC | Clinic/Center | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-10-19 |
| 1801240221 | Heather Powers | Dietitian, Registered | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-04-21 |
| 1023492642 | Jennifer Ribar | Neuromusculoskeletal Medicine & OMM | 1001 Noble St, Fairbanks, AK 99701-4948 | 2015-07-14 |
| 1013399708 | Rebekah L. Burket | Counselor | 1001 Noble St, Fairbanks, AK 99701-4948 | 2015-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| 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 |
|---|---|---|---|---|
| 1326078999 | Ralph Alan Wells | Obstetrics & Gynecology | 1860 Airport Way, 160b, Fairbanks, AK 99701-4008 | 2006-07-03 |
| 1154396497 | Doris Heilman | Obstetrics & Gynecology | 1626 30th Ave., Fairbanks, AK 99701-7423 | 2006-02-21 |
| 1114312204 | Sadie Marden | Obstetrics & Gynecology | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2015-04-06 |
| 1497009294 | University Women's Health LLC | Obstetrics & Gynecology | 1875 University Ave S, Unit 1, Fairbanks, AK 99709-4906 | 2012-10-31 |
| 1285918433 | Christa M Lewis | Obstetrics & Gynecology | Bassett Army Community Hospital, 9040 Gaffney Rd, Fairbanks, AK 99703 | 2011-10-06 |
| 1043454200 | Jessica Brooke Highfill | Obstetrics & Gynecology | 1001 Noble St, Fairbanks, AK 99701-4922 | 2009-04-30 |
| 1982846267 | Kerry Phillip Wappett | Obstetrics & Gynecology | 1001 Noble St, Fairbanks, AK 99701-4922 | 2009-04-01 |
| 1831265743 | Richard Stacey Anderson | Obstetrics & Gynecology | 1650 Cowles St, Fairbanks, AK 99701-5925 | 2006-11-24 |
| 1619087491 | Dr Peter Lawrason PC | Obstetrics & Gynecology | 1919 Lathrop St, Suite 101, Fairbanks, AK 99701-5930 | 2006-08-30 |
| 1558376954 | Eiluned Anne Hogenson | Obstetrics & Gynecology | 1919 Lathrop St, Ste 222, Fairbanks, AK 99701-5942 | 2006-07-31 |
| Find all providers in FAIRBANKS | ||||
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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.