MICHAEL HENNELLY (NPI# 1871553933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871553933 |
| Entity Type | Individual |
| Full Name | MICHAEL HENNELLY |
| Credential | MD |
| Practice Address |
110 Sheep Springs Jemez Pueblo NM 87024-0279 |
| Mailing Address |
Po Box 279 Jemez Pueblo NM 87024-0279 |
| Practice Telephone | 5758347413 |
| Practice Fax Number | 5758347517 |
| Mailing Telephone | 5758347413 |
| Mailing Fax Number | 5758347517 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2015-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 75197 | NM | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164441069 | Michael M. Hennelly | Emergency Medicine | 3998 Red Lion Rd, Emergency Department, Philadelphia, PA 19114-1436 | 2006-07-19 |
| Street Address |
110 SHEEP SPRINGS |
| City | JEMEZ PUEBLO |
| State | NM |
| Zip Code | 87024-0279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043202351 | Robert A Gracey | Optometrist | 110 Sheep Springs, Jemez Pueblo, NM 87024-0279 | 2005-08-22 |
| 1336704048 | Arlan Lucero | Specialist | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2019-05-08 |
| 1194380055 | Narcisso L Toledo | Specialist | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2019-05-07 |
| 1861056285 | Stuart Gachupin | Specialist | 110 Sheep Springs, Jemez Pueblo, NM 87024-0279 | 2019-05-01 |
| 1417085796 | Lisa C Maves | Counselor | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2007-03-01 |
| 1811048820 | Carol Y Gachupin | Counselor | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2007-01-16 |
| 1225188055 | Frank Fidel Fragua | Counselor | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2007-01-12 |
| 1568436053 | Catherine Taylor | Internal Medicine | 110 Sheep Springs, Jemez Pueblo, NM 87024 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104357003 | Lovelace Unm Rehabilitation Hospital LLC | Physical Therapist | 129 A Canal Street, Jemez Pueblo, NM 87024 | 2017-03-22 |
| 1245786565 | Alana Chinana | Technician, Other | 174 Good Spirits Rd., Jemez Pueblo, NM 87024 | 2016-08-28 |
| 1932482445 | Lovelace Health System LLC | Physical Therapist | 129-a Canal Street, Jemez Pueblo, NM 87024 | 2011-09-21 |
| 1750615506 | Angela Xaviera Torres | Dentist | 110 Sheep Springs Rd, Jemez Pueblo, NM 87024 | 2009-09-28 |
| 1629218631 | Carol Ann Vigil | Counselor | 110 Sheep Spring Rd., Jemez Pueblo, NM 87024 | 2009-03-03 |
| 1821233644 | Debra Ann Benalli | Counselor | 110 Sheep Springs Rd., Jemez Pueblo, NM 87024 | 2008-12-08 |
| 1477676567 | Pueblo of Jemez | Clinic/Center | 110 Sheepsprings Way, Jemez Pueblo, NM 87024 | 2007-04-06 |
| 1780727735 | Marietta Montoya | Contractor | 129 Canal Street, Jemez Pueblo, NM 87024 | 2007-02-15 |
| 1629116611 | Deyvonna Allison Gachupin | Pharmacy Technician | 110 Sheepsprings Rd, Jemez Pueblo, NM 87024 | 2007-02-02 |
| 1801934864 | Vonda J Baca | Registered Nurse | 110 Sheepsprings Way St, Jemez Pueblo, NM 87024 | 2007-02-02 |
| Find all providers in zip 87024 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083006761 | Amy Cunningham | Legal Medicine | 5120 Purcell Dr. Ne, Albuquerque, NM 87111-3757 | 2015-03-04 |
| 1730570433 | Rodey Law Firm | Legal Medicine | 201 3rd St Nw, Suite 2200, Albuquerque, NM 87102-3370 | 2015-02-17 |
| 1770669426 | Robert W Keenan | Legal Medicine | 4158b Sycamore, Los Alamos, NM 87544 | 2006-10-27 |
| 1255412839 | John B Kernan | Legal Medicine | 5419 N Lovington Hwy Ste 13, Hobbs, NM 88240-9135 | 2006-10-18 |
| 1336108737 | Matthew Fontana | Legal Medicine | 235 Aaramar Ln, Corrales, NM 87048-8205 | 2006-03-23 |
| 1558320770 | Wendy Fronterhouse | Legal Medicine | 6100 Pan American Fwy Ne, 100, Albuquerque, NM 87109-3427 | 2006-03-17 |
| 1326036328 | James R. Sawyer | Legal Medicine | 2425 W 21st St, Clovis, NM 88101-2006 | 2005-10-12 |
| 1508963992 | Amy Schmidt | Legal Medicine | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2006-09-20 |
| 1023114170 | Valerie Young | Legal Medicine | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2006-09-16 |
| 1821194937 | Richard Roche | Legal Medicine | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2006-09-15 |
| Find all providers with the same taxonomy | ||||
| City | JEMEZ PUEBLO |
| Zip Code | 87024 |
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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.