Gary Albert McKenna, PA C MHS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

CO353 Issued in CO

Practice address

5161 E Arapahoe Rd
#290
Centennial, CO 80122-2387

Phone

(720) 488-0055

Fax

(720) 488-3955

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1629012596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "address_2": "#290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222387",
            "telephone_number": "720-488-0055",
            "fax_number": "720-488-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "address_2": "#290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222387",
            "telephone_number": "720-488-0055",
            "fax_number": "720-488-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "GARY",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "PA C MHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "CO353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39354784",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jo McHugh
• Annika McIntosh
• Anthony McKee, D.C.
• Jacob Peter McKeegan, M.D.
• Sarah Ann McKelvey, MA, LPC
• Kelli McKenna, RDN
• Lesa Ellen McKenzie, RPH
• Christine L McKinlay
• Catherine L McKinnon, R.N.
• Nicole McLachlan

• Medical Physician Assistant in Centennial, CO
• Providers in Centennial, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.