DR. PATRICK JAMES MCKENNA M.D. NPI 1104851872

NPI Information

NPI: 1104851872
Provider Name: DR. PATRICK JAMES MCKENNA, M.D.
Classification: Radiology - 2085R0203X
Entity Type: Individual

Specialization: Therapeutic Radiology

Address:
7500 MERCY RD
ALEGENT HEALTH BERGAN MERCY RADIATION ONCOLOGY
OMAHA, NE
ZIP 68124
Phone: (402) 398-6485
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DR. Patrick James Mckenna, M.D. is a therapeutic radiology radiology in Omaha, NE. DR. Patrick James Mckenna, M.D. NPI is 1104851872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7500 MERCY RD
ALEGENT HEALTH BERGAN MERCY RADIATION ONCOLOGY
OMAHA, NE
ZIP 68124-319
Phone: (402) 398-6485
Fax: (402) 398-6621

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0203X	Radiology	Therapeutic Radiology	12181	NEBRASKA	Yes
2	2085R0001X	Radiology	Radiation Oncology	12181	NEBRASKA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DO9058	MEDICARE UPIN	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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