Dwight R. McKenna, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

162886-1 Issued in NY

Practice address

1101 Nott St
@ Ellis Hospital ER Dept.
Schenectady, NY 12308-2425

Phone

(518) 243-4121

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northeast Emergency Medical Associates, PC

  • Emergency Medicine Physician
  • Schenectady, NY
  • NPI 1003844606
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1720092349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W NORTHFIELD CHURCH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059645",
            "telephone_number": "734-214-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "address_2": "@ ELLIS HOSPITAL ER DEPT.",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-243-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "DWIGHT",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "162886-1",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "162886-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01732301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernesto Jr Pasana McGuire, PT
• Lisa McHugh
• Robert Gerard McHugh, D.O.
• Kathryn E McIntosh, PA
• Robert McKay, M.D.
• Bonnie McKeown, COTA
• Lori McKim Leblanc, OTR, CHT
• Kristen McKinney
• Pamela McKinney, LMSW
• Sue Petersen McKinney, PA

• Emergency Medicine Physician in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.