DR. JOSEPH MICHAEL MACKEY (NPI# 1114124575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114124575 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH MICHAEL MACKEY |
| Credential | M.D. |
| Practice Address |
1011 West Second Street Bloomington IN 47403-2216 |
| Practice Telephone | 8123341213 |
| Practice Fax Number | 8123335039 |
| Mailing Telephone | 8123341213 |
| Mailing Fax Number | 8123335039 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | TRN11512 | FL | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 01069717A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201025280 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457615577 | Joseph Richard Mackey | Internal Medicine | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2012-07-03 |
| 1063429371 | Joseph Mackey | Internal Medicine | 2201 Hempstead Tpke, East Meadow, NY 11554-1859 | 2006-08-01 |
| 1003809195 | Joseph T. Mackey | Family Medicine | 104 No. 7 Highway, Suite B, Blue Springs, MO 64014 | 2005-08-24 |
| Street Address |
1011 WEST SECOND STREET |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205902772 | Harold L. Cohen, M.d., LLC | Ophthalmology | 2901 S Mcintire Dr, Bloomington, IN 47403-4209 | 2006-11-28 |
| 1932171105 | Paul M. Tani | Ophthalmology | 9801 Dupont Ave S Ste 425, Bloomington, MN 55431-3873 | 2006-02-02 |
| 1407835598 | Kenneth M Tewel Jr. | Ophthalmology | 2901 S Mcintyre Dr, Bloomington, IN 47403-4209 | 2006-01-17 |
| 1881676807 | Matthew Michael Fornefeld | Ophthalmology | 481 S Landmark Ave, Bloomington, IN 47403-5005 | 2005-11-16 |
| 1780670596 | Sumit Bhatia | Ophthalmology | 1008 N Main St, Bloomington, IL 61701-1784 | 2005-09-27 |
| 1659367423 | Yun-sen Ralph Chu | Ophthalmology | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2005-09-27 |
| 1134114259 | Elizabeth A Davis | Ophthalmology | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2005-09-14 |
| 1346245792 | Robert S Baller | Ophthalmology | 1228 N Towanda Avenue, Bloomington, IL 61701-3469 | 2005-06-14 |
| 1275995714 | Jefferson Berryman | Ophthalmology | 9801 Dupont Ave S Ste 200, Bloomington, MN 55431-3200 | 2016-03-23 |
| 1760746028 | Clara M Choo | Ophthalmology | 9801 Dupont Ave S Ste 200, Bloomington, MN 55431-3200 | 2012-07-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.