MICHAEL SHANNON HENNESSEY MD
NPI 1497745434
Emergency Medicine in Johnson City, NY

Q: What is Michael Hennessey's NPI number?

The NPI number for Michael Hennessey is 1497745434. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Q: What is Michael Hennessey's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Hennessey was last updated on November 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 21, 2005

33-57 HARRISON ST, JOHNSON CITY, NY 13790(607) 763-6412(607) 763-5854 Get Directions Write a Review

NPPES record last updated: November 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael Shannon Hennessey Md NPPES

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

MICHAEL SHANNON HENNESSEY MD (NPI 1497745434) is an individual emergency medicine provider in Johnson City, New York, licensed in New York (173230-1) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1497745434

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMICHAEL SHANNON HENNESSEYCredential: MD

Location Address33-57 HARRISON STJohnson City, NY 13790-2107

Mailing Address346 Grand AveJohnson City, NY 13790-2558 · (607) 770-0025 · Fax (607) 729-3982

Phone(607) 763-6412

Fax(607) 763-5854

Sole ProprietorNo

Enumeration DateOctober 21, 2005

Last NPPES UpdateNovember 19, 2011

✔ NPI 1497745434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 173230-1

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

33-57 HARRISON ST, Johnson City, NY 13790

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Other Identifiers 3

Medicare PINDD4216NY

Medicare UPING71503

Medicaid02369226NY

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.

TASNIMA RIA ELAHI MD

Hospitalist