McKenna Morgan PA-C, PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

MCKENNA MORGAN PA-C, PLLC

Practice address

1926 N Macdonald
Mesa, AZ 85201-1725

Phone

(208) 859-8290

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

McKenna Destefano, PA-C

Title

Owner

Phone

(208) 859-8290

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1881277200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 N MACDONALD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852011725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 N MACDONALD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852011725",
            "telephone_number": "208-859-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNA MORGAN PA-C, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "DESTEFANO",
        "authorized_official_first_name": "MCKENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-859-8290",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri F McKee, M.D.
• Paul H McKellar, PMHNP
• McKellips Family Medical Clinic (Ferguson Family Medicine)
• McKellips Family Medical Clinic, PLLC
• McKellips Internal Medicine PLLC
• Alexis Morgan McKenna, NMD
• Sarah McKenna, D.O.
• Jesika McKenzie
• Princess Estocia Sierra McKinney
• Jessica McKinnon, WHNP-BC

• Surgical Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.