Look up the most recent NPI and PECOS records

John Joseph Mckenna

Anesthesiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JOHN MCKENNA.

Based on the most recent information from CMS, provider John Joseph Mckenna is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1083076079
Provider Type
Individual
Full Name
Mckenna, John Joseph
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/28/2016
Last Updated
9/3/2020

Contact Information

Practice Location

800 W 5th Ave, Spokane, WA 99204-2803

(509) 473-5800

Unlisted Fax

Mailing Location

PO Box 21040, Spokane, WA 99201-7197

(509) 473-7672

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 61034983 Washington

John Joseph Mckenna

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Johnson, Eric

Simmons, Nicholas Ray

Dawley, Joshua D

Konovsky, Don J

Belk, Ryan Lloyd

Dudley, Ryan

Matson, Marcus Christian

Headman, Zachary Corey

Fallon, Micheal J

Carter, Jimmy Keith