DR. MICHAEL J. MACK


Address: 4708 Alliance Blvd, Suite 700, Pavillion I, Plano, TX 75093-5340
Phone: 9725966676

DR. MICHAEL J. MACK (NPI# 1376531913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376531913
Entity Type Individual
Full Name DR. MICHAEL J. MACK
Credential M.D.
Practice Address 4708 Alliance Blvd
Suite 700, Pavillion I
Plano
TX 75093-5340
Practice Telephone 9725966676
Practice Fax Number 9725967078
Mailing Telephone 9725966676
Mailing Fax Number 9725967078
Enumeration Date 2005-10-07
Last Update Date 2012-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) F6018 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 115911305 05

Other Providers MICHAEL MACK

NPI Name Taxonomy Address Enumeration
1851737589 Michael George Mack Chiropractor 1327 Bay View Dr, Devils Lake, ND 58301-8629 2013-05-21
1710239876 Michael Wesley Mack Jr. Social Worker 6605 Abercorn St Ste 101f, Savannah, GA 31405-5896 2012-10-12
1407138712 Michael Mack Registered Nurse 5416 N Lawrence St, Philadelphia, PA 19120-2804 2011-09-13
1235298555 Michael Edward Mack Dentist 7060 Spring Meadows W Dr, Suite B, Holland, OH 43528-8061 2006-12-06
1508952375 Michael John Mack Dentist 40 E. Putnam Ave., Cos Cob, CT 06807 2006-10-05
1962995357 Michael Mack Case Manager/Care Coordinator 8411 Broadway Ave, Cleveland, OH 44105-3932 2018-06-11
1902356710 Michael Anthony Mack Counselor 600 Bernard St, Bakersfield, CA 93305-3020 2016-10-05
1114333796 Michael Mack Counselor 3450 Broadway St, Boulder, CO 80304-1824 2014-07-03
1245484948 Michael Mack Marriage & Family Therapist 6041 Cadillac Ave, Los Angeles, CA 90034-1702 2008-11-07
1225216997 Michael Dean Mack Emergency Medicine 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 2008-02-05

Office Location

Street Address 4708 ALLIANCE BLVD
SUITE 700, PAVILLION I
City PLANO
State TX
Zip Code 75093-5340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689677940 Gerhard Emil Maale IIi Specialist 4708 Alliance Blvd, Ste 710, Plano, TX 75093-5340 2005-05-31
1194360644 Mundela Tshilanda Nurse Practitioner 4708 Alliance Blvd, Ste 600, Plano, TX 75093-5368 2019-11-07
1891155784 Anna Ferris Martinez Nurse Practitioner 4708 Alliance Blvd, Suite 550, Plano, TX 75093-5340 2016-03-04
1558739789 Elaine Allison Hess Psychologist 4708 Alliance Blvd, Pav I, Ste 700, Plano, TX 75093-5340 2015-09-03
1447655857 Christian L Moncrief Md Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 4708 Alliance Blvd, Suite 770, Plano, TX 75093-5340 2014-10-28
1740605849 Matthew Wiggins Physician Assistant 4708 Alliance Blvd, 810, Plano, TX 75093-5340 2014-02-26
1447514831 Diana Margaret Kedora Nurse Practitioner 4708 Alliance Blvd, Pavilion I, Suite 300, Plano, TX 75093-5340 2012-06-29
1023372422 Amy Nicole Merritt Nurse Practitioner 4708 Alliance Blvd, Pavilion I, Suite 600, Plano, TX 75093-5340 2012-06-29
1871860882 Orthopedic Associates of Dallas LLP Orthopaedic Surgery 4708 Alliance Blvd, Suite 310, Plano, TX 75093-5340 2011-11-18
1780961045 Texas Neurosurgical Institute Pa Nurse Practitioner 4708 Alliance Blvd, Suite 830 Pavilion I, Plano, TX 75093-5340 2011-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235789041 Mapleshade Surgery Center, LLC Clinic/Center 960 Ohio Dr, Plano, TX 75093 2019-09-13
1003461468 Psyclear, LLC Psychologist 5055 West Park Boulevard, Suite 400, Plano, TX 75093 2019-08-02
1962981795 Ep Anesthesia Pllc Anesthesiology 4100 Mapleshade Ln, Plano, TX 75093 2018-08-13
1669973939 Eva Walekhwa Registered Nurse 6000 Ohio Drive, Apt 1027, Plano, TX 75093 2018-02-22
1437657624 Advanced Spine Center Orthopaedic Surgery 1705 Ohio Drive, Suite 300, Plano, TX 75093 2018-01-23
1184139974 Erica Cherese Carey Nurse Practitioner 1100 Allied Drive, Plano, TX 75093 2017-12-04
1457865578 Norma Vigilant Specialist/Technologist, Other 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 2017-11-28
1891214011 Americare Rx Pharmacy Inc Pharmacy 4010 W. 15th St., Ste 60, Plano, TX 75093 2017-09-19
1760912554 Baylor Surgicare At Baylor Plano, LLC Clinic/Center 4825 Alliance, Sute 300, Plano, TX 75093 2017-06-14
1881133262 Dr.seshagiri Rao Preferred Provider Organization 3016 Communications Pkwy, Ste 100, Plano, TX 75093 2017-02-17
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518162650 Kelley A Hutcheson Thoracic Surgery (Cardiothoracic Vascular Surgery) 4716 Alliance Blvd, Pavilion II, Suite 310, Plano, TX 75093-1010 2007-06-19
1124082904 John Michael Dimaio Thoracic Surgery (Cardiothoracic Vascular Surgery) 4708 Alliance Blvd Ste 540, Plano, TX 75093 2006-04-17
1063400661 Amadeo S. Quintans Thoracic Surgery (Cardiothoracic Vascular Surgery) 4708 Alliance Blvd Ste 1, Suite 700, Plano, TX 75093-5337 2005-10-10
1225026776 Michal Savcenko Thoracic Surgery (Cardiothoracic Vascular Surgery) 6149 Windhaven Pkwy Ste 130, Plano, TX 75093-8298 2005-10-10
1447655857 Christian L Moncrief Md Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 4708 Alliance Blvd, Suite 770, Plano, TX 75093-5340 2014-10-28
1710205208 John Keene Waters Thoracic Surgery (Cardiothoracic Vascular Surgery) 4708 Alliance Blvd Ste 540, Plano, TX 75093-5339 2010-05-10
1912148412 Cardio Vascular Surgeons of North Texas, Pllc Thoracic Surgery (Cardiothoracic Vascular Surgery) 3900 W 15th St, Ste 208, Plano, TX 75075-7751 2009-03-12
1144475229 Justin Michael Schaffer Thoracic Surgery (Cardiothoracic Vascular Surgery) 4716 Alliance Blvd, Pavilion II, Suite 310, Plano, TX 75093-5371 2008-11-17
1891963328 Dallas Cardiovascular Surgical Association Thoracic Surgery (Cardiothoracic Vascular Surgery) 6200 W Parker Rd, Suite 103, Plano, TX 75093-7939 2008-02-19
1205019874 Richard Bowman Md Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 4001 W 15th St Ste 335, Plano, TX 75093-5859 2007-12-06
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Competitor

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City PLANO
Zip Code 75093

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Dataset Information

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.

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