Michael John McKenna, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

5744 Issued in NV

Practice address

8465 W Sahara Ave Ste 111-419
Las Vegas, NV 89117-8960

Phone

(702) 334-0260

NPI assigned

Jul 21, 2006

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael J. McKenna, MD, Professional Corporation

  dba McKenna and Ruggeroli Pain Specialists

  • Non-Pharmacy Dispensing Site
  • Las Vegas, NV
  • NPI 1285991612
  NPD Authorized official
• Michael J McKenna MD Professional Corporation

  dba McKenna and Ruggeroli Pain Specialists

  • Specialist
  • Las Vegas, NV
  • NPI 1760576847
  Authorized official Same address or phone
• Specialty ASC LLC

  dba Surgical Arts Center

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1003064890
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1093736571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 W SAHARA AVE STE 111-419",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178960",
            "telephone_number": "702-334-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 W SAHARA AVE STE 111-419",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178960",
            "telephone_number": "702-334-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "5744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vancine McKeller
• Carolyn J McKelvie, M.D.
• Rafaela McKen
• Alexandra McKenna
• Elizabeth McKenna
• Shannon McKenney
• Anthony McKenzie
• Cassandra McKenzie
• Destin McKenzie
• Gerald McKenzie

• Interventional Pain Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Interventional Pain Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.