JOHNATHAN MCKENNIS CFSA
NPI 1265057376
Obstetrics & Gynecology in Mesquite, TX

Q: What is Johnathan Mckennis's NPI number?

The NPI number for Johnathan Mckennis is 1265057376. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Q: What is Johnathan Mckennis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since June 15, 2020

1011 N GALLOWAY AVE, MESQUITE, TX 75149(214) 320-7000 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2024, Oct 29, 2023, Jun 15, 2020 (3 updates tracked since 2020).

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About Johnathan Mckennis Cfsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNATHAN MCKENNIS CFSA (NPI 1265057376) is an individual obstetrics & gynecology provider in Mesquite, Texas, licensed in Texas (176541) and active in the NPI registry since June 2020. He maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1265057376

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJOHNATHAN MCKENNISCredential: CFSA

Location Address1011 N GALLOWAY AVEMesquite, TX 75149-2433

Mailing AddressPo Box 850924Mesquite, TX 75185-0924 · (601) 214-4987

Phone(214) 320-7000

Sole ProprietorYes

Enumeration DateJune 15, 2020

Last NPPES UpdateMay 18, 20243 updates tracked since enumeration

NPPES CertifiedMay 18, 2024

✔ NPI 1265057376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · 176541

Definition

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.

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 176541 (TX)

1011 N GALLOWAY AVE, Mesquite, TX 75149

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Secondary Practice Location 1

Location 11441 N Beckley AveDallas, TX 75203-1201 · Phone (214) 947-8181

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW CRIGHTON RUTHERFORD MD

Emergency Medicine