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MICHAEL SHANNON HENNESSEY MD NPI 1497745434


NPI Information

NPI: 1497745434
Provider Name: MICHAEL SHANNON HENNESSEY, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
33-57 HARRISON ST
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 763-6412
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Michael Shannon Hennessey, MD is an emergency medicine in Johnson City, NY. 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 Shannon Hennessey, MD NPI is 1497745434. 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:

33-57 HARRISON ST
JOHNSON CITY, NY
ZIP 13790-107
Phone: (607) 763-6412
Fax: (607) 763-5854

The enumeration date for this NPI number is 10/21/2005 and was last updated on 11/19/2011.


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 Medicine173230-1NEW YORKYes

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
1DD4216MEDICARE PINNEW YORK
2G71503MEDICARE UPIN
302369226MEDICAIDNEW YORK

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.