DR. GREGORY JOHN MCKENNA (NPI# 1710320569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710320569 |
| Entity Type | Individual |
| Full Name | DR. GREGORY JOHN MCKENNA |
| Credential | D.O. |
| Practice Address |
380 Oxford Valley Rd Langhorne PA 19047-8304 |
| Mailing Address |
621 S American St Rear G Philadelphia PA 19147-2328 |
| Practice Telephone | 2159495000 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | C7-0005338 | DE | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS019015 | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
OS019015 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4755 Ogletown Stanton Rd, Newark, DE 197182200 | 3027331000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033752613 | Gregory Augustus Mckenna | Dentist | 131 Deer Hill Ave, Danbury, CT 06810-7783 | 2019-10-25 |
| 1295100055 | Gregory Mckenna | Pharmacist | 23 Killingworth Rd, Box 540, Higganum, CT 06441-4242 | 2015-12-04 |
| 1770637118 | Gregory Francis Mckenna | Nurse Practitioner | 165 Charles River Plaza, Suite 404, Boston, MA 02114 | 2007-01-23 |
| 1245399393 | Gregory M Mckenna | Military Health Care Provider | 2480 Llewellyn Ave, Fort Meade, MD 20755-5800 | 2006-12-06 |
| 1467489799 | Gregory J Mckenna | Transplant Surgery | 3410 Worth St, Suite 950, Dallas, TX 75246-2003 | 2006-06-26 |
| Street Address |
380 OXFORD VALLEY RD |
| City | LANGHORNE |
| State | PA |
| Zip Code | 19047-8304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822857 | Fredric Howard Goldberg | Anesthesiology | 380 Oxford Valley Rd, Langhorne, PA 19047-8304 | 2005-06-27 |
| 1083176325 | Lopaben Patel | Physician Assistant | 380 Oxford Valley Rd, Langhorne, PA 19047-8304 | 2019-04-04 |
| 1629535935 | Jensine Ann Varghese | Physician Assistant | 380 Oxford Valley Rd, Langhorne, PA 19047-8304 | 2019-02-22 |
| 1912338112 | Paul T Adams | Orthopaedic Surgery | 380 Oxford Valley Rd, 3b Orthopaedic Specialists, Langhorne, PA 19047-8304 | 2013-12-13 |
| 1821434044 | David Philip Kline | Physical Therapist | 380 Oxford Valley Rd, Langhorne, PA 19047-8304 | 2013-05-14 |
| 1457672206 | Katherine Kirksey | Family Medicine | 380 Oxford Valley Rd, Langhorne, PA 19047-8304 | 2010-06-16 |
| 1679805709 | Elizabeth Abraham | Nurse Practitioner | 380 Oxford Valley Rd, Langhorne, PA 19047 | 2010-01-29 |
| 1831330778 | Natalie Berman | Radiology | 380 Oxford Valley Rd, Langhorne, PA 19047-8304 | 2009-03-23 |
| 1427216662 | Michael H Hoffman | Emergency Medicine | 380 Oxford Valley Rd, Langhorne, PA 19047-8304 | 2008-05-23 |
| 1760649651 | Huma Kausar | Emergency Medicine | 380 Oxford Valley Rd, Langhorne, PA 19047-8304 | 2008-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
| 1407475973 | Midiia Shuman | Student in an Organized Health Care Education/Training Program | 1201 Langhorne Newtown Rd., St. Mary Medical Center, Langhorne, PA 19047 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1487211173 | Avantika Gul Israni | Student in an Organized Health Care Education/Training Program | 1201 Langhorne-newtown Road, St. Mary Medical Center, Langhorne, PA 19047 | 2019-05-29 |
| 1861955155 | Jordesha Mariska Hodge | Student in an Organized Health Care Education/Training Program | 1201 Langhorne - Newton Rd., Langhorne, PA 19047 | 2019-04-12 |
| 1932673456 | Kenneth Nagy | Physical Therapy Assistant | 310 E Winchester Ave, Langhorne, PA 19047 | 2019-01-17 |
| 1104398635 | Woods Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Allgair Cottage, 96 Oakwood Doive, Langhorne, PA 19047 | 2018-12-21 |
| 1356819411 | Mitchell Perry | Physician Assistant | 1203 Newtown-langhorne Rd, #220, Langhorne, PA 19047 | 2018-11-07 |
| 1609353291 | Eye and Facial Plastic Surgery Consultants LLC | Ophthalmology | 1203 Newtown-langhorne Road, Suite 120, Langhorne, PA 19047 | 2018-07-26 |
| 1760969992 | Your Orthodontist | Dentist | 586 Middletown Blvd Ste C10, Langhorne, PA 19047 | 2018-07-20 |
| Find all providers in zip 19047 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930798 | Mvc Pa Pllc | Radiology | 4262 Old William Penn Hwy Ste 209, Murrysville, PA 15668-1954 | 2019-03-07 |
| 1205296209 | Interventional Solutions Inc. | Radiology | 333 Allegheny Ave Ste 200, Oakmont, PA 15139-2072 | 2016-03-03 |
| 1861857906 | Lehigh Valley Vascular Institute LLC | Radiology | 3450 High Point Blvd, Bethlehem, PA 18017-7801 | 2015-12-16 |
| 1447647102 | Fresenius Vascular Care Pottstown LLC | Radiology | 2217 E High St, Pottstown, PA 19464-3215 | 2015-04-21 |
| 1891119764 | Aaron Shiloh, Md LLC | Radiology | 715 Cherry Ln, Suite 100, Southampton, PA 18966-3936 | 2014-02-12 |
| 1396081857 | Shante D Bennett | Radiology | 503 North 21st St, Camp Hill, PA 17011 | 2013-01-02 |
| 1326310806 | Pa Vascular Institute LLC | Radiology | 505 Independence Rd Ste E, East Stroudsburg, PA 18301-7916 | 2012-01-31 |
| 1699090654 | Guillaume Boiteau | Radiology | 220 S Home Ave, Apt # 404, Pittsburgh, PA 15202-2844 | 2010-04-02 |
| 1184854531 | John Yoon | Radiology | 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 | 2009-07-20 |
| 1831353879 | Pennsylvania Phlebology Group PC | Radiology | 707 Eagleview Blvd Ste 303, Exton, PA 19341-1159 | 2008-07-17 |
| Find all providers with the same taxonomy | ||||
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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.