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MICHAEL M. HENNELLY D.O. NPI 1164441069


NPI Information

NPI: 1164441069
Provider Name: MICHAEL M. HENNELLY, D.O.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: AMERICAN CURRENT CARE PA

PECOS Registration: Yes

Address:
3998 RED LION RD
EMERGENCY DEPARTMENT
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 612-4000
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Michael M. Hennelly, D.O. is an emergency medicine in Philadelphia, PA with 26 years of experience. The provider is 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. Michael M. Hennelly, D.O. NPI is 1164441069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1998

The provider's business location address is:

3998 RED LION RD
EMERGENCY DEPARTMENT
PHILADELPHIA, PA
ZIP 19114-436
Phone: (215) 612-4000
Fax: (215) 807-8235

The NPI 1164441069 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/12/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineOS010405LPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H66315MEDICARE UPINPENNSYLVANIA
20019010010002MEDICAIDPENNSYLVANIA
320045133OTHERPENNSYLVANIAAMERIHEALTH MERCY
401901001-01OTHERPENNSYLVANIAAMERICHOICE- TORRES
51164798OTHERPENNSYLVANIAKEYSTONE MERCY
61399033OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
7452729OTHERPENNSYLVANIAAETNA CONTRACT
82087612000OTHERPENNSYLVANIAKEYSTONE IBC
907645OTHERPENNSYLVANIAHEALTH PARTNERS
100019010010001MEDICAIDPENNSYLVANIA
1101901001-02OTHERPENNSYLVANIAAMERICHOICE- FRANKFORD
12059658JL1MEDICARE PINPENNSYLVANIA
131027108OTHERPENNSYLVANIACIGNA
1401901001-03OTHERPENNSYLVANIAAMERICHOICE- BUCKS
151399033OTHERPENNSYLVANIAPERSONAL CHOICE
1600190010010003MEDICAIDPENNSYLVANIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.