DR. GREGORY R MACK (NPI# 1528169513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528169513 |
Entity Type | Individual |
Full Name | DR. GREGORY R MACK |
Credential | M.D. |
Practice Address |
8008 Frost St Suite 403 San Diego CA 92123-4205 |
Practice Telephone | 8587159200 |
Practice Fax Number | 8587151230 |
Mailing Telephone | 8587159200 |
Mailing Fax Number | 8587151230 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2013-08-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
G37547 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICARE PTAN | W19719 | 01 | |
CA | 00G375470 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184109290 | Gregory Thomas Mack | Clinical Exercise Physiologist | 2624 Billingsley Rd, Columbus, OH 43235-1924 | 2018-09-25 |
1760577506 | Gregory J Mack | Podiatrist | 201 Cedar Falls Rd, Menomonie, WI 54751-1270 | 2006-10-04 |
1902353188 | Gregory Atticus Mack | Chiropractor | 636 Nw Richmond Beach Rd, Shoreline, WA 98177-3122 | 2016-09-06 |
1063790020 | Gregory Scott Mack | Pharmacist | 101 Saint Andrews Ln, Pharmacy Dept Glen Cove Hospital, Glen Cove, NY 11542-2254 | 2011-07-25 |
1669523106 | Gregory Irving Mack | Psychologist | 345 Kear St, Suite 202, Yorktown Heights, NY 10598-4425 | 2007-01-12 |
Street Address |
8008 FROST ST SUITE 403 |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-4205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659378990 | Julie Renee Ohayon | Surgery | 8008 Frost St, Ste 403, San Diego, CA 92123-4205 | 2005-07-01 |
1528444171 | Lindsey Urband Md Corp | Orthopaedic Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2015-08-05 |
1710238811 | Ann Billones | Physician Assistant | 8008 Frost St, Suite 106, San Diego, CA 92123-4205 | 2012-09-28 |
1376803254 | San Diego Center for Oral and Maxillofacial Surgery | Dentist | 8008 Frost St, Suite 311, San Diego, CA 92123-4205 | 2012-05-24 |
1508169335 | Christine Michelle Szafranic | Physician Assistant | 8008 Frost St, Suite 106, San Diego, CA 92123-4205 | 2010-12-16 |
1316247281 | Sharp Rees-stealy Medical Group Inc | Orthopaedic Surgery | 8008 Frost St, Suite 106, San Diego, CA 92123 | 2010-10-26 |
1740422997 | Lindsey Starr Urband | Orthopaedic Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2009-04-02 |
1063658375 | M. Hertzel Soumekh M D A Professional Corporation | Neurological Surgery | 8008 Frost St, Suite 401, San Diego, CA 92123-4205 | 2008-12-17 |
1023273307 | Jesus H. Mendoza | Orthotist | 8008 Frost St, Suite 407, San Diego, CA 92123-4205 | 2008-07-25 |
1407036502 | Tarkan Sidal | Dentist | 8008 Frost St, Suite 311, San Diego, CA 92123-4205 | 2007-11-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
Find all providers in zip 92123 |
Taxonomy Code | 2086S0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgery of the Hand |
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306868328 | Randal John Vecchione | Surgery | 2542 2nd Ave, San Diego, CA 92103-6537 | 2006-07-25 |
1659378990 | Julie Renee Ohayon | Surgery | 8008 Frost St, Ste 403, San Diego, CA 92123-4205 | 2005-07-01 |
1164679908 | Anisa M Yalom | Surgery | 8901 Activity Rd, San Diego, CA 92126-4432 | 2008-08-22 |
1457438822 | Richard D Perlman Md Mph Inc | Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2006-11-01 |
1962589234 | Gregory R. Mack Md, Inc | Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2006-11-01 |
1710088992 | Dori Neill Cage M D Inc | Surgery | 8008 Frost St, Suite #403, San Diego, CA 92123 | 2006-09-26 |
1659333805 | Julie R Ohayon Md Professional Corp | Surgery | 8008 Frost St, Ste 403, San Diego, CA 92123-4205 | 2006-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851669592 | Nehzat Nikakhtar Md Inc | Surgery | 24462 Hawthorne Blvd, Torrance, CA 90505-6507 | 2011-12-08 |
1306133699 | Nicholas Manes Caggiano | Surgery | 862 Meinecke Ave Ste 100, San Luis Obispo, CA 93405 | 2011-07-07 |
1790005304 | Soar Surgery Center, LLC | Surgery | 1849 Bayshore Hwy, Burlingame, CA 94010-1215 | 2010-06-04 |
1730410747 | Mark Slonim | Surgery | 5610 Caminito Genio, La Jolla, CA 92037-7167 | 2010-01-15 |
1780822171 | Katherine Janice Fu | Surgery | 35400 Bob Hope Dr Ste 201, Rancho Mirage, CA 92270 | 2009-01-23 |
1801000815 | Frederick Abruzzo | Surgery | 1447a Stevenson St, San Francisco, CA 94103-2424 | 2007-05-09 |
1730305178 | Hongshik Han Md Inc | Surgery | 7005 N Maple #108, Fresno, CA 93720 | 2007-04-17 |
1356461651 | Jonathan F Cook, Md Inc | Surgery | 1334 W. Covina Bl., # 204, San Dimas, CA 91773 | 2007-03-30 |
1952469983 | Robert Ellis Markison | Surgery | 2000 Van Ness Avenue, Suite 204, San Francisco, CA 94109-3017 | 2006-12-04 |
1952327587 | Tancredi F. D'amore, M.d Facs. A Medical Corporation | Surgery | 21 Tamal Vista Blvd Ste 103, Corte Madera, CA 94925-1130 | 2006-07-15 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. GREGORY R MACK.
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.