DR. TIMOTHY JOHN MCKENNA (NPI# 1881032746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881032746 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOHN MCKENNA |
| Credential | M.D. |
| Practice Address |
800 West Ave S La Crosse WI 54601 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 6087850940 |
| Mailing Telephone | 6087850940 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 67054 | WI | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 58407 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559056203 | 5072842511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336524727 | Timothy Mckenna | Counselor | 325 Heather Dr N, Mantua, NJ 08051-1818 | 2015-07-27 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1710277827 | Timothy Mckenna | Pharmacist | 601 Norwich New London Tpke, Uncasville, CT 06382-2104 | 2011-04-10 |
| 1558352294 | Timothy Melvin Mckenna | Surgery | 1675 Watertower Place, Suite 100, East Lansing, MI 48823 | 2005-11-02 |
| Street Address |
800 WEST AVE S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323467 | Evan R Nelson | Physical Medicine & Rehabilitation | 800 West Ave S, La Crosse, WI 54601 | 2005-06-01 |
| 1366002479 | Caitlin Rae Carpenter | Physician Assistant | 800 West Ave S, La Crosse, WI 54601-8806 | 2019-06-20 |
| 1619448412 | Jenna Bauer | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-12-06 |
| 1871077198 | Grant Morgan | Physician Assistant | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-09-21 |
| 1477034411 | Navid Khezri | Neurological Surgery | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-08-28 |
| 1609356468 | Alexander Ehlert | Physical Therapist | 800 West Ave S, La Crosse, WI 54601 | 2018-08-20 |
| 1316426091 | Jenifer Bantle-felt | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601 | 2018-08-13 |
| 1366949026 | Teresa Ann Mallett | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-04-10 |
| 1881199545 | Emily French | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-03-26 |
| 1073035598 | Mariah Hall | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601-8806 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323467 | Evan R Nelson | Physical Medicine & Rehabilitation | 800 West Ave S, La Crosse, WI 54601 | 2005-06-01 |
| 1124413794 | Abigail Ho | Physical Medicine & Rehabilitation | 1836 South Ave, La Crosse, WI 54601-5429 | 2015-04-01 |
| 1346660339 | Anna Marie Batterson | Physical Medicine & Rehabilitation | 1836 South Ave, La Crosse, WI 54601 | 2014-04-17 |
| 1518118975 | Christine M Brose | Physical Medicine & Rehabilitation | 1836 South Ave, La Crosse, WI 54601-5429 | 2008-10-03 |
| 1255543419 | Karyn H Laursen | Physical Medicine & Rehabilitation | 1836 South Ave, La Crosse, WI 54601 | 2007-05-03 |
| 1235285834 | Erin L Maslowski | Physical Medicine & Rehabilitation | 1836 South Ave, La Crosse, WI 54601-5429 | 2007-01-26 |
| 1265468680 | Mark E Domroese | Physical Medicine & Rehabilitation | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-06-25 |
| 1871576017 | Cheryl A Bihn | Physical Medicine & Rehabilitation | 800 West Ave S, La Crosse, WI 54601 | 2005-11-22 |
| 1467457069 | Susan K. Halter | Physical Medicine & Rehabilitation | 800 West Ave S, La Crosse, WI 54601 | 2005-06-20 |
| 1225033830 | Timothy A Harbst | Physical Medicine & Rehabilitation | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-20 |
| Find all providers in LA CROSSE | ||||
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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.