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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 22583 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | BCBS | 01724 | 01 |
Street Address |
306 WEST 2 STREET |
City | TILDEN |
State | NE |
Zip Code | 68781 |
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 |
Find all providers in zip 68781 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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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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.