CHARLES JAMES MCKENNA


Address: 6124 W Parker Rd Ste 530, Plano, TX 75093-8140
Phone: 2147781075

CHARLES JAMES MCKENNA (NPI# 1679110332) 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) 1679110332
Entity Type Individual
Full Name CHARLES JAMES MCKENNA
Practice Address 6124 W Parker Rd Ste 530
Plano
TX 75093-8140
Mailing Address 8904 Quarry Ridge Trail
Keller
TX 76244
Practice Telephone 2147781075
Mailing Telephone 3618153393
Enumeration Date 2019-12-02
Last Update Date 2019-12-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP141458 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6124 W PARKER RD STE 530
City PLANO
State TX
Zip Code 75093-8140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790968105 Courtney G. Trylovich, M.d., P.a. Obstetrics & Gynecology 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 2007-12-07
1376158279 Katelyn Weatherford Registered Nurse 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 2020-09-09
1598398505 Melissa Horner Nurse Practitioner 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 2020-02-18
1831741271 Eivy Tatiana Herrera Physician Assistant 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 2019-07-16
1760034326 Xingjia Yang Physician Assistant 6124 W Parker Rd Ste 530, Plano, TX 75093 2019-07-14
1124313283 Arhaanth Dharam Reddy Internal Medicine 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 2011-06-16
1326367954 Nicole Chen Nurse Practitioner 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 2010-05-21
1609108919 Wen Tung Physician Assistant 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 2010-02-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235789041 Mapleshade Surgery Center, LLC Clinic/Center 960 Ohio Dr, Plano, TX 75093 2019-09-13
1003461468 Psyclear, LLC Psychologist 5055 West Park Boulevard, Suite 400, Plano, TX 75093 2019-08-02
1962981795 Ep Anesthesia Pllc Anesthesiology 4100 Mapleshade Ln, Plano, TX 75093 2018-08-13
1669973939 Eva Walekhwa Registered Nurse 6000 Ohio Drive, Apt 1027, Plano, TX 75093 2018-02-22
1437657624 Advanced Spine Center Orthopaedic Surgery 1705 Ohio Drive, Suite 300, Plano, TX 75093 2018-01-23
1184139974 Erica Cherese Carey Nurse Practitioner 1100 Allied Drive, Plano, TX 75093 2017-12-04
1457865578 Norma Vigilant Specialist/Technologist, Other 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 2017-11-28
1891214011 Americare Rx Pharmacy Inc Pharmacy 4010 W. 15th St., Ste 60, Plano, TX 75093 2017-09-19
1760912554 Baylor Surgicare At Baylor Plano, LLC Clinic/Center 4825 Alliance, Sute 300, Plano, TX 75093 2017-06-14
1881133262 Dr.seshagiri Rao Preferred Provider Organization 3016 Communications Pkwy, Ste 100, Plano, TX 75093 2017-02-17
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184139974 Erica Cherese Carey Nurse Practitioner 1100 Allied Drive, Plano, TX 75093 2017-12-04
1104291483 Lindsey Baxter Nurse Practitioner 2401 Trailwest Lane, Plano, TX 75025 2015-12-11
1194345850 Adrienne Camille Greeney Nurse Practitioner 1100 Allied Dr, Plano, TX 75093-5348 2020-04-23
1376187682 Tabtiha Jean Inge Nurse Practitioner 3901 W 15th St, Plano, TX 75075-7738 2019-10-30
1447715503 Shabnam Gettu Gill Nurse Practitioner 6130 W Parker Rd Ste 516, Plano, TX 75093-8033 2019-02-04
1538636444 Jessica Lee Whitis Nurse Practitioner 1600 Coit Rd Ste 104, Plano, TX 75075-6171 2018-10-29
1790251585 Laura Hayes Nurse Practitioner 1100 Allied Dr, Plano, TX 75093-5348 2018-10-18
1760957088 Baneen Fatima Manekia Nurse Practitioner 6300 W Parker Rd Ste 322, Plano, TX 75093-8103 2018-10-13
1831672088 Preethy Sara Oommen Nurse Practitioner 6124 W Parker Rd Ste 536, Plano, TX 75093-8137 2018-09-13
1902382716 Heidi Maria Sewell Nurse Practitioner 1100 Allied Dr, Plano, TX 75093-5348 2018-07-15
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Competitor

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City PLANO
Zip Code 75093

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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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