RYAN TIMOTHY MCKENNA


Address: 800 Prudential Dr, Jacksonville, FL 32207-8202
Phone: 9043965682

RYAN TIMOTHY MCKENNA (NPI# 1982961264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982961264
Entity Type Individual
Full Name RYAN TIMOTHY MCKENNA
Credential D.O.
Practice Address 800 Prudential Dr
Jacksonville
FL 32207-8202
Mailing Address 820 Prudential Dr
Suite 713
Jacksonville
FL 32207-8210
Practice Telephone 9043965682
Mailing Telephone 9043965682
Enumeration Date 2012-04-11
Last Update Date 2015-07-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine OS13229 FL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers RYAN MCKENNA

NPI Name Taxonomy Address Enumeration
1801152079 Ryan Floyd Mckenna Anesthesiology 6826 Plum Creek Dr, Amarillo, TX 79124 2012-04-02
1700093168 Ryan Patrick Mckenna Dentist 1021 Nebraska St, Sioux City, IA 51105-1436 2007-05-16

Office Location

Street Address 800 PRUDENTIAL DR
City JACKSONVILLE
State FL
Zip Code 32207-8202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013913854 Annette Davidson Bell Family Medicine 800 Prudential Dr, Jacksonville, FL 32207-8202 2005-06-27
1508467523 Heather Smith Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8211 2020-11-05
1306446638 Jessica Schilz Dietitian, Registered 800 Prudential Dr, Jacksonville, FL 32207-8211 2020-10-27
1033718747 Kiara Michelle Simmons Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-10-22
1477151488 Nicole Schumaker Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-10-12
1609482868 Anna D Denson Nurse Practitioner 800 Prudential Dr, Jacksonville, FL 32207-8211 2020-09-22
1578179453 Emily Guan Duani Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8211 2020-09-16
1487264636 Heidi Marie Rebholz Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-08-03
1326657982 Everrenz Health, Inc Family Medicine 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-07-29
1760090302 Matthew Ryan Jones Anesthesiologist Assistant 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
1821653601 The Adoption Authority, Inc. Case Management 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 2019-05-07
1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1073008504 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 2018-06-27
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427690353 Emergency Physicians Inc Emergency Medicine 9868 Family Place, Jacksonville, FL 32222 2019-10-11
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1922525229 Dwic of Tampa Bay, Inc Emergency Medicine 11985 Atlantic Boulevard, Jacksonville, FL 32225-2919 2017-08-28
1063945541 Hassan Mohammad Aboudan Emergency Medicine 8455 Stables Rd, Jacksonville, FL 32256-7265 2017-04-11
1639626476 Emergency Physicians Inc Emergency Medicine 11250 Baptist Health Drive, Suite 713, Jacksonville, FL 32218 2016-09-09
1497107957 Frank Rodriguez Emergency Medicine 7615 Hunters Grove Rd, Jacksonville, FL 32256-7210 2016-07-08
1649631391 Emergency Physicians Inc Emergency Medicine 4085 Town Center Pkwy, Jacksonville, FL 32246-8580 2016-03-09
1619387099 John Michael Kiel Emergency Medicine Department of Emergency Medicine, 125 Floor Clinical Ce, 655 West 8th Street, C506, Jacksonville, FL 32209-3220 2014-05-06
1225455306 James Esser Barr Emergency Medicine 653 W 8th St # L15, Jacksonville, FL 32209-6511 2014-03-26
1992122170 Nadia Bakor Emergency Medicine 6477 103rd St, Jacksonville, FL 32210-7129 2014-03-25
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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

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.

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