Individual provider Active NPI

Kathryn A. McKenna, M.D.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1619314820
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD457643 Issued in PA
Practice address
540 N Duke St
3Rd Floor
Lancaster, PA 17602-2374
Phone
(717) 544-4950
Fax
(717) 544-5964
NPI assigned
May 29, 2013
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD457643 PA Primary
Obstetrics & Gynecology Physician 207V00000X MD457643 PA

Addresses

Primary practice location

540 N Duke St
3Rd Floor
Lancaster, PA 17602-2374

Mailing address

540 N Duke St
3Rd Floor
Lancaster, PA 17602-2374
Phone (717) 544-4950

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160613000439 PA Practitioner - Family Practice 6800110107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, shared by 16 NPIs, 520 clinicians

Practice addresses (Care Compare)

555 N Duke St FL 1
Penn Medicine Lancaster General Health Care
Lancaster, PA 17602-2250
Phone (717) 544-7279

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD457643PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Aug 1, 2016 Accepting new patients
Lancaster General Hospital Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Lancaster General Hospital CurrentSince Aug 1, 2016 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients
Lancaster General Hospital Past Accepting new patients

Locations

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

555 N Duke St
Fl 1
Lancaster, PA 17602
Phone (717) 544-7279

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1619314820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N DUKE ST",
            "address_2": "3RD FLOOR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022374",
            "telephone_number": "717-544-4950",
            "fax_number": "717-544-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N DUKE ST",
            "address_2": "3RD FLOOR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022374",
            "telephone_number": "717-544-4950",
            "fax_number": "717-544-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "KATHRYN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD457643",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD457643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.