McKenna General Medical, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MCKENNA GENERAL MEDICAL, LLC

Practice address

1827 Gentilly Blvd
New Orleans, LA 70119-2051

Phone

(504) 943-1923

Fax

(504) 943-1933

NPI assigned

Jun 18, 2008

Last updated

Aug 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dwight Lawrence McKenna, M.D.NPI 1316056419

Title

President/Physician

Phone

(504) 943-1923

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dwight Lawrence McKenna, M.D.

  • General Practice Physician
  • New Orleans, LA
  • NPI 1316056419
  Medicare reassignment NPD Authorized official
• Stanton M McKenna, MD

  • General Practice Physician
  • Atlanta, GA
  • NPI 1447432067
  NPD (past)
• Stephen James McKenna, MD, MBA, FACS

  • Surgery Physician
  • Frederick, MD
  • NPI 1982665147
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1164683645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 GENTILLY BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192051",
            "telephone_number": "504-943-1923",
            "fax_number": "504-943-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 GENTILLY BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192051",
            "telephone_number": "504-943-1923",
            "fax_number": "504-943-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNA GENERAL MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "504-943-1923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1129267",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "UP4206",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "F4229",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "436664206B",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MCK's Construction Co., LLC
• Cheryl McKay
• Rona Bartolome McKee
• Willie McKee Jr., D.D.S.
• Jane Flynn McKelvy, MD
• Dwight Lawrence McKenna, M.D.
• Warren Peter McKenna Jr., M.D.
• Holly McKenney, LCSW-BACS
• Gena M McKenzie, C.R.N.A.
• Jaimee A McKenzie, MSW

• General Practice Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.