Individual provider Active NPI

Thomas A. Hennigan, M.D.

  • Emergency Medicine Physician
  • Keene, NH
National Provider Identifier
1144302118
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9266 Issued in NH
Practice address
580 Court Street the Cheshire Medical Center
Emergency Medicine Department
Keene, NH 03431
Phone
(603) 354-6600
Fax
(603) 354-6605
NPI assigned
Oct 19, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9266 NH Primary

Addresses

Primary practice location

580 Court Street the Cheshire Medical Center
Emergency Medicine Department
Keene, NH 03431

Mailing address

580 Court St
Emergency Medicine Department
Keene, NH 03431-1718

Other identifiers 3

IdentifierTypeStateIssuer
871897OtherABEM CERTIFICATE
9266OtherNHSTATE LICENSE
30209758MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144302118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COURT ST",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COURT STREET THE CHESHIRE MEDICAL CENTER",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "03431",
            "telephone_number": "603-354-6600",
            "fax_number": "603-354-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "9266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABEM CERTIFICATE",
            "identifier": "871897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9266",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30209758",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.