THOMAS W HENNESSEY (NPI# 1861423196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861423196 |
| Entity Type | Individual |
| Full Name | THOMAS W HENNESSEY |
| Credential | MD |
| Practice Address |
2800 Chicago Ave Suite 401 Minneapolis MN 55407-1318 |
| Mailing Address |
3001 Metro Dr Suite 330 Bloomington MN 55425-4506 |
| Practice Telephone | 9528146600 |
| Mailing Telephone | 9528146600 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
22165 | MN | Allopathic & Osteopathic Physicians |
| X | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
22165 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285792424 | Thomas James Hennessey | Chiropractor | 515 S Sycamore St, Petersburg, VA 23803-5037 | 2006-12-04 |
| Street Address |
2800 CHICAGO AVE SUITE 401 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598742793 | Loren D Bosmans | Internal Medicine | 2800 Chicago Ave, Ste. 250, Minneapolis, MN 55407-1318 | 2005-12-28 |
| 1417438169 | Community Care Clinics of Minnesota | Clinic/Center | 2800 Chicago Ave, Ste 100, Minneapolis, MN 55407 | 2018-08-21 |
| 1124516042 | Beverly Ann Sorensen | Social Worker | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2018-04-26 |
| 1174043608 | Allison J Z Levy | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1659891174 | Thomas V Williams | Internal Medicine | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1093235517 | Brynn E Weise | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1417477944 | Christopher C Spoke | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1841710696 | Paul T Abear | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-22 |
| 1699295568 | Ryan N Mello | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-22 |
| 1659805745 | Maggie Sarah Sortedahl-lopac | Physical Therapist | 2800 Chicago Ave, Suite 102, Minneapolis, MN 55407-1318 | 2017-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548278013 | David T Lock | Emergency Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-08-03 |
| 1609866797 | Adam J Box | Emergency Medicine | 900 Nicollet Mall, Target Clinic, Minneapolis, MN 55403-2530 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901506 | Centracare Health System | Emergency Medicine | 121 Lake St N, Big Lake, MN 55309-9254 | 2019-09-19 |
| 1700082781 | Jeffrey A Lee | Emergency Medicine | 111 Riverfront Ste 208, Winona, MN 55987-3456 | 2007-06-26 |
| 1669544623 | Thomas Charles Koehnen | Emergency Medicine | 38818 730th Ave, Saint James, MN 56081-4482 | 2006-11-14 |
| 1952385304 | Tracy Alan Powell | Emergency Medicine | 303 Catlin St, Buffalo, MN 55313-1947 | 2005-11-30 |
| 1831548676 | Sarah Mott | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2016-06-10 |
| 1508129198 | Amy M. O'neil | Emergency Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-06-19 |
| 1285994517 | Micah Richard Treuer | Emergency Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2012-05-21 |
| 1528324472 | Erin Austad | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2012-04-04 |
| 1740457902 | Ram Prasad Paneru | Emergency Medicine | 123 4th St Nw, Bagley, MN 56621-8306 | 2008-05-15 |
| 1417123688 | Samuel Robert Goblirsch | Emergency Medicine | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2008-05-07 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.