Active NPI
Barbara J McKenna, MD
- Anatomic Pathology & Clinical Pathology Physician
- Ann Arbor, MI
National Provider Identifier
1588746549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 4301080138
- Practice address
- 1500 East Medical Center Dr
2ND Floor University Hospital Recp Pathology
Ann Arbor, MI 48109-5054 - Phone
- (800) 862-7284
- NPI assigned
- Oct 19, 2006
- Last updated
- Mar 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 4301080138 | MI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301080138 | MI | Primary |
Addresses
Primary practice location
1500 East Medical Center Dr
2ND Floor University Hospital Recp Pathology
Ann Arbor, MI 48109-5054
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4423981 | Medicaid | MI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301080138 | MI | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Past | Accepting new patients | |
| Albany Medical College | Cytopathology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Dept of Pathology and Laboratory Medicine
- Pediatric Pathology Physician
- Albany, NY
- NPI 1568496438
Cytopathology
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": "1332460800000",
"number": "1588746549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"address_2": "2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095054",
"telephone_number": "800-862-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "BARBARA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "MI",
"license": "4301080138",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301080138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4423981",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.