Individual provider Active NPI

Daniel Timothy Kennihan, PA-C

  • Medical Physician Assistant
  • Butler, PA
National Provider Identifier
1255089959
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA063626 Issued in PA
Practice address
1 Hospital Way
Butler, PA 16001-4670
Phone
(724) 283-6666
NPI assigned
Mar 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X MA063626 PA Primary

Addresses

Primary practice location

1 Hospital Way
Butler, PA 16001-4670

Mailing address

530 Steiner Bridge Rd
Valencia, PA 16059-3640
Phone (517) 889-2505

Other practice location 1

530 Steiner Bridge Rd
Valencia, PA 16059-3640
Phone (517) 888-2505

Other practice location 2

416 Randolph St
Mason, MI 48854-1249
Phone (517) 889-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912000094 PA Practitioner - Physician Assistant 5799160867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670

1 Hospital Way 4
Butler Infectious Disease Services
Butler, PA 16001-4670
Phone (724) 284-4309

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118

One Hospital Way 4TH Floor
BHS Women'S Care Associates
Butler, PA 16001-4670
Phone (844) 765-2845

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
  • Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Sep 12, 2022 Accepting new patients
Butler Medical Providers CurrentSince Sep 12, 2022 Accepting new patients
Butler Medical Providers Past Accepting new patients
Butler Medical Providers Multi-Specialty Past Accepting new patients

Locations

389 New Castle Rd
Butler, PA 16001
Phone (724) 282-2216

127 Oneida Valley Rd
Ste 202
Butler, PA 16001
Phone (844) 282-4370

127 Oneida Valley Rd
Ste 203
Butler, PA 16001
Phone (724) 284-5670

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

330 N Point Dr
Ste 301
Clarion, PA 16214
Phone (814) 393-6052

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

235 State Route 288
Ellwood City, PA 16117
Phone (724) 752-3450

1 Park Way
Seneca, PA 16346
Phone (814) 676-5444

100 Northpointe Cir
Ste 103
Seven Fields, PA 16046
Phone (412) 357-8900

300 Northpointe Cir
Ste 104
Seven Fields, PA 16046
Phone (833) 391-0738

100 Innovation Dr
Ste 103
Slippery Rock, PA 16057
Phone (724) 738-0912

Organizations & group practices 5

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1255089959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 STEINER BRIDGE RD",
            "city": "VALENCIA",
            "state": "PA",
            "postal_code": "160593640",
            "telephone_number": "517-889-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "724-283-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Steiner Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "PA",
            "postal_code": "160593640",
            "country_code": "US",
            "telephone_number": "517-888-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 Randolph St",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488541249",
            "country_code": "US",
            "telephone_number": "517-889-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNIHAN",
        "first_name": "DANIEL",
        "middle_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.