ROBERT HENNESSY (NPI# 1699765412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699765412 |
| Entity Type | Individual |
| Full Name | ROBERT HENNESSY |
| Practice Address |
3593 Arboretum Cir Corona CA 92881-3973 |
| Practice Telephone | 7149435015 |
| Mailing Telephone | 7149435015 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A114538 | CA | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
A114538 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01820891 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649344607 | Robert Francis Hennessy | Pharmacist | Longrneekeres Pharmacy, Parkesburg, PA 19365 | 2006-11-20 |
| 1134140569 | Robert G Hennessy | Neurological Surgery | 1001 Pine Heights Ave, Suite 304, Baltimore, MD 21229-5208 | 2006-07-21 |
| 1992789820 | Robert B. Hennessy | Anesthesiology | 55 Lake Ave N, Department of Anesthesiology, Worcester, MA 01655-0002 | 2005-12-05 |
| Street Address |
3593 ARBORETUM CIR |
| City | CORONA |
| State | CA |
| Zip Code | 92881-3973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| 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 |
|---|---|---|---|---|
| 1851931364 | Infinity Medical Care, Inc. | Family Medicine | 1820 Fullerton Ave Ste No260, Corona, CA 92881-3160 | 2020-01-13 |
| 1649708397 | Greta Eugenia Rios-steed | Family Medicine | 495 E Rincon St Ste 215, Corona, CA 92879-1378 | 2017-05-25 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1659786192 | Merlin Ann Sunny | Family Medicine | 341 Magnolia Ave Ste 201, Corona, CA 92879-3332 | 2014-06-24 |
| 1396164869 | Mi Tu Quan | Family Medicine | 5828 99th St, Corona, NY 11368 | 2014-04-14 |
| 1801232384 | Farhan Saeed Khan | Family Medicine | 2871 New Castle Way, Corona, CA 92879-6164 | 2013-05-11 |
| 1295093953 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Family Medicine | 1690 W 6th St, Suite K, Corona, CA 92882-2910 | 2012-05-01 |
| 1982983458 | Optimum Wellness and Longevity Inc | Family Medicine | 1315 Corona Pointe Ct, Suite 101, Corona, CA 92879-1764 | 2011-08-15 |
| 1326333089 | Cogent Healthcare of California | Family Medicine | 2275 Sampson Ave, Corona, CA 92879-3400 | 2011-06-10 |
| 1316248842 | Harishkumar Ganeshbhai Patel | Family Medicine | 1312 Alee Cir, Corona, CA 92882-7343 | 2010-11-15 |
| Find all providers in CORONA | ||||
Please comment or provide details below to improve the information on ROBERT HENNESSY.
| 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.