STEPHANIE ANNETTE MACKEY (NPI# 1205834249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205834249 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANNETTE MACKEY |
| Credential | M.D. |
| Practice Address |
800 New Holland Ave Suite A Lancaster PA 17602-2179 |
| Practice Telephone | 7174317546 |
| Practice Fax Number | 7174317550 |
| Mailing Telephone | 7174317546 |
| Mailing Fax Number | 7174317550 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2009-09-15 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD055612L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 02891200 | 01 |
| PA | MEDICARE LEGACY PROVIDER | 783381 | 01 |
| PA | RR MEDICARE | 070013934 | 01 |
| PA | AMERIHEALTH MERCY | 20007782 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245364967 | Stephanie Mackey | Audiologist | 372 W. Arden Ave. #101, Glendale, CA 91203 | 2007-03-15 |
| 1336635432 | Stephanie Ann Mackey | Physical Therapist | 3452 Lake Lynda Dr Ste 200, Orlando, FL 32817 | 2018-07-02 |
| 1033507983 | Stephanie Mackey | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2014-12-30 |
| Street Address |
800 NEW HOLLAND AVE SUITE A |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750345278 | Susan Teri Mcgillis | Dermatology | 230 Harrisburg Ave, Ste 4, Lancaster, PA 17603-2959 | 2006-04-13 |
| 1093781783 | Lancaster Skin Center PC | Dermatology | 190 N Pointe Blvd, Ste 1, Lancaster, PA 17601 | 2006-02-23 |
| 1841263050 | Mary F Kegel | Dermatology | 1650 Crooked Oak Dr Ste 200, Lancaster, PA 17601 | 2006-02-08 |
| 1891766424 | Dermatology Physicians Inc. | Dermatology | 203 N Lime St, Lancaster, PA 17602-2729 | 2006-01-31 |
| 1992790026 | Christopher Dabski | Dermatology | 1821 Como Park Blvd, Lancaster, NY 14086-2823 | 2005-09-14 |
| 1417950643 | James Lloyd Barrett | Dermatology | 112 N Ewing St, Lancaster, OH 43130-3307 | 2005-05-23 |
| 1740791763 | Amanda Marie Conroy | Dermatology | 1650 Crooked Oak Dr Ste 200, Lancaster, PA 17601-4278 | 2017-10-17 |
| 1053773754 | Tessiny N Iriarte | Dermatology | 45104 10th St W, Lancaster, CA 93534-2310 | 2016-03-22 |
| 1659614592 | Joanne Rill | Dermatology | 1650 Crooked Oak Dr Ste 200, Lancaster, PA 17601-4278 | 2013-03-28 |
| 1225304280 | Sara Marian Seibert Lucking | Dermatology | 1650 Crooked Oak Dr, Lancaster, PA 17601-4278 | 2012-03-23 |
| Find all providers in LANCASTER | ||||
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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.