MCKENNEY MEDICAL GROUP, PLLC (NPI# 1548463185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548463185 |
| Entity Type | Organization |
| Organization Name | MCKENNEY MEDICAL GROUP, PLLC |
| Other Organization Name | HOLLAND MEDICAL CENTER |
| Practice Address |
6712a S Quay Rd Suffolk VA 23437-8697 |
| Practice Telephone | 7576579595 |
| Practice Fax Number | 7576579950 |
| Mailing Telephone | 7576579595 |
| Mailing Fax Number | 7576579950 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JULIAN DEW MCKENNEY JR. (OWNER) |
| Authorized Official Telephone | 7576579595 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102037167 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE LICENSE | 0102037167 | 01 |
| VA | DEA | BM 3396377 | 01 |
| Other Name | Type Code |
|---|---|
| Holland Medical Center | Doing Business As Name - Organization |
| Street Address |
6712A S QUAY RD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23437-8697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962984328 | Box Elder Behavioral Health LLC | Clinic/Center | 1795 Box Elder Road, Suffolk, VA 23437 | 2018-09-02 |
| 1558707984 | Amy Marie Clark | Military Health Care Provider | 260 Barnes Rd, Suffolk, VA 23437 | 2013-05-13 |
| 1659897213 | Everett Service Provider Multi Medical Group | Durable Medical Equipment & Medical Supplies | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2017-08-16 |
| 1184111502 | John R Paige | Home Health | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2018-04-20 |
| 1073069399 | Gertrude Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7566 Quaker Dr, Suffolk, VA 23437-8906 | 2016-08-28 |
| 1780238105 | Lora Faulk Hunter | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-07-25 |
| 1629613526 | Riding With My Angels, LLC | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-11-14 |
| 1396915195 | Independent Senior Home Services | Home Health | 4599 Quaker Dr, Suffolk, VA 23437-9026 | 2008-03-07 |
| 1760572994 | A and R Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6020 Holy Neck Rd, Suffolk, VA 23437-9227 | 2006-10-16 |
| 1386132363 | Branchaud Behavioral Therapy | Behavioral Analyst | 5776 Greenwood Rd, Suffolk, VA 23437-9252 | 2018-04-25 |
| Find all providers in zip 23437 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891287611 | Franklin Clinic Corp | Family Medicine | 3920 Bridge Rd Ste 305, Suffolk, VA 23435-1107 | 2018-06-06 |
| 1922418235 | Maryview Hospital | Family Medicine | 148 Burnetts Way, Ste 107, Suffolk, VA 23434-6149 | 2014-05-08 |
| 1164687190 | Margie Pantangco Pascual | Family Medicine | 5818-d Harbour View Blvd, Suite 250, Suffolk, VA 23435 | 2008-07-18 |
| 1083804728 | Franklin Clinic Corp | Family Medicine | 2790 Godwin Blvd Ste 320, Suffolk, VA 23434-8174 | 2007-07-30 |
| 1144437039 | Center for Health and Diabetes, Pllc | Family Medicine | 131 N Saratoga St, Suffolk, VA 23434-5258 | 2007-05-17 |
| 1730263435 | Monique Mccarter Lee | Family Medicine | 157 N Main St, Suite A, Suffolk, VA 23434-4565 | 2006-10-25 |
| 1104849132 | Roger Guy Lever | Family Medicine | 2800 Godwin Blvd Fl 1, Suffolk, VA 23434-8038 | 2006-07-25 |
| 1962429498 | Obici Medical Management Services, Inc | Family Medicine | 1548 Holland Rd # B, Suffolk, VA 23434-6528 | 2006-07-17 |
| 1144251687 | Linda Kay Frey | Family Medicine | 2019 Meade Pkwy, Suffolk, VA 23434-4259 | 2006-07-05 |
| 1538105200 | Thankam Pillai | Family Medicine | 5622 Bennetts Pasture Rd, Suffolk, VA 23435-1602 | 2006-06-21 |
| Find all providers in SUFFOLK | ||||
Please comment or provide details below to improve the information on MCKENNEY MEDICAL GROUP, PLLC.
| 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.