Dwight Lawrence McKenna, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD03347R Issued in LA

Practice address

1827 Gentilly Blvd
New Orleans, LA 70119-2051

Phone

(504) 943-1923

Fax

(504) 943-1933

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: General Surgery

Education

Meharry Medical College School of Medicine, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• McKenna General Medical, LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1164683645
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1316056419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 TCHOUPITOULAS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151554",
            "telephone_number": "504-899-1056",
            "fax_number": "504-899-1954"
        },
        {
            "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": {
        "last_name": "MCKENNA",
        "first_name": "DWIGHT",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "03347R",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD03347R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "UP4206",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1129267",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "F4229",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl McKay
• Rona Bartolome McKee
• Willie McKee Jr., D.D.S.
• Jane Flynn McKelvy, MD
• McKenna General Medical, LLC
• Warren Peter McKenna Jr., M.D.
• Holly McKenney, LCSW-BACS
• Gena M McKenzie, C.R.N.A.
• Jaimee A McKenzie, MSW
• Jessica McKenzie

• 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 Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.