MICHAEL MACK


Address: 5416 N Lawrence St, Philadelphia, PA 19120-2804
Phone: 2672579270

MICHAEL MACK (NPI# 1407138712) 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) 1407138712
Entity Type Individual
Full Name MICHAEL MACK
Practice Address 5416 N Lawrence St
Philadelphia
PA 19120-2804
Practice Telephone 2672579270
Mailing Telephone 2672579270
Enumeration Date 2011-09-13
Last Update Date 2011-09-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
RN585234 PA Nursing Service Providers

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
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
1376531913 Michael J. Mack Thoracic Surgery (Cardiothoracic Vascular Surgery) 4708 Alliance Blvd, Suite 700, Pavillion I, Plano, TX 75093-5340 2005-10-07

Office Location

Street Address 5416 N LAWRENCE ST
City PHILADELPHIA
State PA
Zip Code 19120-2804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902364615 Jane Clay Zakrzewski Social Worker Springfield Psychological, 1420 Walnut St. Suite 1500, Philadelphia, PA 19120 2019-03-12
1861964264 Yi Ty Zhang Nurse Practitioner 101 E Olney Ave Ste C5, Philadelphia, PA 19120 2018-12-23
1447799770 John Beecroft Counselor 4943 North 5th Street, Philadelphia, PA 19120 2017-02-20
1063869915 Syed Naved Zahid Dentist 5675 Nth Front St., Philadelphia, PA 19120 2016-05-20
1447619838 Danielle Green Nurse Practitioner 5846 North 4th St, Philadelphia, PA 19120 2016-02-15
1134544265 Nt&t Corporation Pharmacy 439 West Chew Ave 1st F, Philadelphia, PA 19120 2014-02-26
1417234667 Thomas Davis Behavioral Analyst 101 West Spencer Street, Philadelphia, PA 19120 2011-11-15
1619261682 Advanced Family Dentistry, P.C. Dentist 6100-02 5th Street, Storefront, Philadelphia, PA 19120 2011-06-07
1346539061 Capri N. Burt Prosthetist 5962 N. 3rd Street, Philadelphia, PA 19120 2011-04-04
1063719334 James A. Brown Prosthetist 5962 N. 3rd St., Phila, PA 19120 2011-02-22
Find all providers in zip 19120

Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093343857 Elisha L Lowe Registered Nurse 3900 City Ave Apt M208, Philadelphia, PA 19131-2959 2020-03-29
1811552896 Kristine Nissley Registered Nurse Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 2019-05-06
1568969467 Victoria Shemaria Registered Nurse 3814 Lauriston St, Philadelphia, PA 19128-5106 2018-04-09
1023515061 Lorisa Green Registered Nurse 7203 Sommers Rd, Philadelphia, PA 19138-1307 2018-04-06
1588014518 Christopher Thomas Mcandrew Registered Nurse 3400 Spruce St Ste F, Philadelphia, PA 19104-4224 2016-06-21
1043670102 Reena Pushpangadan Registered Nurse 310 Cross St, Philadelphia, PA 19147-6509 2016-03-02
1962763433 Linda Carol King Registered Nurse 3916 Gateway Dr, C1, Philadelphia, PA 19145-5974 2012-05-31
1467784280 Traci Lynne Johnson Registered Nurse 2345 Saint Albans St, Philadelphia, PA 19146-1716 2010-02-03
1518110543 Kevin Robert Driscoll Registered Nurse 418 Curie Blvd, Philadelphia, PA 19104-4217 2008-11-04
1184244287 Maria Tomasetti Registered Nurse 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-04-20
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19120

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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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