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Contact Information

JAMES R. HENNESSY, M.D.
28442 E. RIVER ROAD
SUITE 203
PERRYSBURG, OH43551
 Phone: 419-350-6739
 Fax: 419-251-3845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JAMES R. HENNESSY, M.D.

NPI Number 1427320043
LBN Legal business name JAMES R. HENNESSY, M.D.
Authorized official JAMES HENNESSY - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/27/2012
Last updated 01/27/2012 - About 14 years ago
Identifiers
OH License # 35043054
OH Medicaid 0309253
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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