Michael Hennelly, MD
Michael Hennelly, MD is a Family Practice in Jemez Pueblo, New Mexico. Graduated from University of Missouri, Columbia School of Medicine in 1974, 52 years ago. Practices with Pueblo of Jemez, a 22-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 52
- Trained at
- University of Missouri, Columbia School of Medicine
- Licensed in
- NM
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
110 Sheep SpgsJemez Pueblo, NM 87024-0279
Phone: (575) 834-7413
Fax: (575) 834-7517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 75-167 (NM) |
|---|
Record details
| NPI number | 1871553933 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 24, 2006 |
| Last updated in NPPES | September 25, 2024 |
| Certification date | September 25, 2024 |
| Mailing address | Po Box 279, Jemez Pueblo, NM 87024-0279 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduated | 1974 (52 years in practice) |
| Group practice | Pueblo Of Jemez — 22 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 9 on file with Medicare |
Other providers in Jemez Pueblo
-
Gregory L Darrow, MD
110 Sheep Springs Way, Jemez Pueblo, NM 87024 · (575) 834-7413
-
Mark Joseph Stevens, DO
110 Sheep Springs Cir, Jemez Pueblo, NM 87024-0731 · (575) 834-7413
-
Dr. David Lawrence Tempest, MD
110 Sheep Springs Way, Jemez Pueblo, NM 87024 · (575) 834-7413