JOHNATHAN MCKENNIS CFSA – NPI #1265057376
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

JOHNATHAN MCKENNIS is a physician located in MESQUITE, TX. NPPES has assigned the NPI number 1265057376 to JOHNATHAN MCKENNIS on June 15, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 2 years ago on May 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHNATHAN MCKENNIS below.

NPI Profile for
JOHNATHAN MCKENNIS

NPI Number
1265057376
Enumeration Date

(about 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHNATHAN MCKENNIS
Credentials
CFSA
Primary location
1011 N GALLOWAY AVE
MESQUITE, TX 75149-2433
Phone: (214) 320-7000 Fax:
1 Other location(s):
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone: (214) 947-8181
Mailing address
PO BOX 850924
MESQUITE, TX 75185-0924
Phone: (601) 214-4987 Fax:
Sole Proprietor
Yes
Updated
Certification Date
May 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
TX 176541
207VX0000X
- Obstetrics & Gynecology / Obstetrics
TX 176541

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Other URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
9440 POPPY DR,
DALLAS, TX 77025-1669