Active NPI
McKenney Medical Group, PLLC
Doing business as Holland Medical Center
- Family Medicine Physician
- Suffolk, VA
National Provider Identifier
1548463185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102037167
- Legal business name
- MCKENNEY MEDICAL GROUP, PLLC
- Doing business as
- Holland Medical Center
- Practice address
- 6712A S Quay Rd
Suffolk, VA 23437-8697 - Phone
- (757) 657-9595
- Fax
- (757) 657-9950
- NPI assigned
- Jun 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julian Dew McKenney Jr., D.O.
- Title
- Owner
- Phone
- (757) 657-9595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102037167 | VA | Primary |
Addresses
Primary practice location
6712A S Quay Rd
Suffolk, VA 23437-8697
Mailing address
6712A S Quay Rd
Suffolk, VA 23437-8697
Phone (757) 657-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102037167 | Other | VA | STATE LICENSE |
Other names 1
- Holland Medical Center
National Provider Directory
National Provider DirectoryLocations
6712A S Quay Rd
Suffolk, VA 23437
Phone (757) 657-9595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1548463185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6712A S QUAY RD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234378697",
"telephone_number": "757-657-9595",
"fax_number": "757-657-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6712A S QUAY RD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234378697",
"telephone_number": "757-657-9595",
"fax_number": "757-657-9950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKENNEY MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-11",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MCKENNEY",
"authorized_official_first_name": "JULIAN",
"authorized_official_middle_name": "DEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-657-9595",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0102037167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0102037167",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Holland Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suffolk, VA
- Tanesha McFadden
- Tamesha Dion McFarland, M.T.
- Laura Jane McGath, RN, CPNP
- Erin McGoldrick
- George R McKay, D.O.
- McKenzie Hastings Institute for Foot & Ankle Surgery, LLC
- McKenzie Institute for Foot & Ankle Surgery (McKenzie Foot & Ankle)
- Chad M McKenzie, D.O.
- Heather Marie McKenzie, DPM
- Angela Faye McKinley, MA, LPC
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.