M.D. Theresa Ann Hennessey, NPI 1699826693
Pediatric Orthopaedic Surgery Physician in Salt Lake City, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1699826693
NPI Entity Type Individual
Provider Name M.D. Theresa Ann Hennessey
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address Shriners Hospitals For Children, Fairfax Road At Virginia Street, Salt Lake City, UT, US
Provider Mailing Address Shriners Hospitals For Children Salt, Dept 5034, Los Angeles, CA, US, 900840001
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207XP3100X

Taxonomy Name Pediatric Orthopaedic Surgery Physician
Classification

Orthopaedic Surgery

Group

Allopathic & Osteopathic Physicians

License No. 5897436-1205
License State UT
Description An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Business Address

M.D. Theresa Ann Hennessey
Shriners Hospitals For Children
Fairfax Road At Virginia Street

Salt Lake City, UT, US

Phone: 801-536-3600
Fax: 801-536-3868

Mailing Address

M.D. Theresa Ann Hennessey
Shriners Hospitals For Children Salt
Dept 5034
Los Angeles, CA, US
ZIP 900840001
Phone: 813-281-8478
Fax: 813-281-8113

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
5897436-8905 UT CONTROLLED SUBSTANCE LIC 01
5897436-1205 UT STATE LICENSE 01
BH9108273 UT DEA LICENSE 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] DIRECT OTHER Yes 50 N Medical Dr, Salt Lake City, UT, US

Other Providers in UT, US

NPI Name Taxonomy Address

1902227101

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1346525474

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Organization

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1407571854

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1467831263

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PA Adam Christopher Garrett

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APRN Trisha Sears

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Organization

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Dylan Smart

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8031 S 700 E

Sandy, UT

1609591007

Alexis Suzanne Goodwin

Individual

Behavior Technician

2025 S 50 W

Bountiful, UT

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