SUETTA TENNEY MD NPI 1649346925

NPI Information

  • NPI: 1649346925
  • Provider Name: SUETTA TENNEY, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: GENESIS HEALTH CARE WINWARD GARDENS NURSING CENTER
    105 MECHANIC STREET
    CAMDEN, ME
    ZIP 04843
  • Phone: (207) 236-4197

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NPI Details

Suetta Tenney, MD is an internal medicine in Camden, ME. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Suetta Tenney, MD NPI is 1649346925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

GENESIS HEALTH CARE WINWARD GARDENS NURSING CENTER
105 MECHANIC STREET
CAMDEN, ME
ZIP 04843
Phone: (207) 236-4197
Fax: (207) 230-0563

The NPI 1649346925 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 11/28/2006 and was last updated on 3/7/2023.

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
1207R00000XInternal MedicineMD22576MAINEYes
2207R00000XInternal Medicine71345MASSACHUSETTSNo

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
13002764MEDICAIDMASSACHUSETTS
269626OTHERHARVARD PILGRAM
371345OTHERMASS LICENSE #
4712914OTHERTUETS HEALTH PLAN
50701800OTHERBC BS ANTHEM
64978OTHERFALLON
7110229385OTHERRAILROAD MEDICARE

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: 11/21/2025

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