DR. THOMAS N FENNESSY


Address: 306 West 2 Street, Tilden, NE 68781
Phone: 4023689964

DR. THOMAS N FENNESSY (NPI# 1356357149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356357149
Entity Type Individual
Full Name DR. THOMAS N FENNESSY
Credential MD
Practice Address 306 West 2 Street
Tilden
NE 68781
Mailing Address 109 N 29th St
Ste 5
Norfolk
NE 68701-3261
Practice Telephone 4023689964
Practice Fax Number 4023685675
Mailing Telephone 4023689964
Mailing Fax Number 4023685675
Enumeration Date 2006-07-31
Last Update Date 2018-06-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 22583 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE BCBS 01724 01

Office Location

Street Address 306 WEST 2 STREET
City TILDEN
State NE
Zip Code 68781

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699814541 City of Tilden Ambulance 101 So. Center St., Tilden, NE 68781 2007-02-06
1457396319 Nagangast Pharmacies Inc Pharmacy 103 East 2nd St, Tilden, NE 68781 2006-06-17
1063790558 Tilden Physical Therapy Physical Therapist 109 East 2nd St, Tilden, NE 68781-0000 2011-08-01
1982952685 Sarah Ann Anderson Nurse Practitioner 306 W 2nd St, Tilden, NE 68781-0220 2012-08-28
1558384842 Tilden Community Hospital & Rural Health Clinic Clinic/Center 306 W 2nd St, Tilden, NE 68781-4760 2006-07-26
1952355307 Tilden Community Hospital & Rural Health Clinic General Acute Care Hospital 308 W 2nd St, Tilden, NE 68781-4760 2006-05-20
1649501404 Anita R Murphy Physician Assistant 306 W 2nd St, Tilden, NE 68781-4760 2010-01-19
1609946417 Tilden Community Hospital & Rural Health Clinic General Acute Care Hospital 308 W 2nd St, Tilden, NE 68781-4760 2006-11-09
1700965985 James Robert Crabb Dentist 106 East 2nd St, Tilden, NE 68781-4793 2006-11-06
1154811701 Tilden Pharmacy Pharmacy 103 E 2nd St, Tilden, NE 68781-4793 2018-05-18
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1447723325 Infinite Options LLC General Practice 17650 Wright St Ste 5, Omaha, NE 68130-2800 2019-01-03
1194202358 Lmmc Lincoln, LLC General Practice 300 N 44th St Ste 102, Lincoln, NE 68503-3415 2018-07-20
1649629478 Marathon Health, Inc. General Practice 108 West 17th Street, C/o Cargill Employee Health Center, Schuyler, NE 68661-1304 2016-06-13
1356605117 Laura Marie Peterson General Practice 8330 Cheney Ridge Rd Apt 439, Lincoln, NE 68516-3820 2012-06-26
1013283431 Daniel J Gross General Practice 1501 Jackson St Ste 100, Omaha, NE 68102-3146 2012-03-29
1043583560 Virgil V Ottun General Practice 81084 Round Valley Rd, Sargent, NE 68874-3119 2012-02-14
1255644787 Joseph Kennedy Costello Iv General Practice 224 N. 49th St. #4a, Omaha, NE 68132 2010-07-26
1326369075 Gbgh General Practice 12309 Gold Street, Omaha, NE 68144-2760 2010-06-17
1477875649 James Bane General Practice 11106 N 61st St, Omaha, NE 68152-1470 2010-02-15
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Competitor

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City TILDEN
Zip Code 68781

Improve Information

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Dataset Information

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.

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