MAHENDER MACHA (NPI# 1558359596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558359596 |
| Entity Type | Individual |
| Full Name | MAHENDER MACHA |
| Credential | MD |
| Practice Address |
1100 E Michigan Ave Suite 301 Jackson MI 49201-1847 |
| Mailing Address |
Po Box 67000 Department 272801 Detroit MI 48267-0002 |
| Practice Telephone | 5178177605 |
| Practice Fax Number | 5178177606 |
| Mailing Telephone | 5178177605 |
| Mailing Fax Number | 5178177606 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2009-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4301064881 | MI | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD050898L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015061690004 | 05 |
| Street Address |
1100 E MICHIGAN AVE SUITE 301 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192483 | Mary Anne Purtill | Surgery | 1100 E Michigan Ave, Ste 201, Jackson, MI 49201-1847 | 2005-05-27 |
| 1417338914 | Beth Kalis | Nurse Practitioner | 1100 E Michigan Ave, Suite 307, Jackson, MI 49201-1847 | 2015-06-11 |
| 1669868154 | Meghan Armstrong | Physician Assistant | 1100 E Michigan Ave, Suite 307, Jackson, MI 49201-1847 | 2015-04-10 |
| 1003167321 | Katherine Ann Mccormack | Physician Assistant | 1100 E Michigan Ave, Ste. 201, Jackson, MI 49201-1847 | 2012-09-26 |
| 1316229628 | Pallavi Bhargava | Internal Medicine | 1100 E Michigan Ave, Suite 305, Jackson, MI 49201-1847 | 2011-09-13 |
| 1114162625 | Vishal Gupta | Internal Medicine | 1100 E Michigan Ave, Ste 310, Jackson, MI 49201-1847 | 2008-12-12 |
| 1912174921 | Arthur R Vendola Md PC | Obstetrics & Gynecology | 1100 E Michigan Ave, Suite 202, Jackson, MI 49201-1847 | 2008-05-09 |
| 1659549228 | Kabindra N Mishra Md PC | Specialist | 1100 E Michigan Ave, Suite 308, Jackson, MI 49201-1847 | 2008-02-15 |
| 1144407446 | Rajan Pastoriza Md Plc | Obstetrics & Gynecology | 1100 E Michigan Ave, Ste 205, Jackson, MI 49201-1847 | 2008-01-29 |
| 1255520573 | Daniel P Freeman Mdpc | Psychiatry & Neurology | 1100 E Michigan Ave, Suite 302, Jackson, MI 49201-1847 | 2007-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720258734 | Jacob Jerome Cohen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 63 Colchester Dr, Jackson, NJ 08527-4782 | 2008-03-05 |
| 1841498656 | Kenneth Marc Begelman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 Moulton Loop, Jackson, WY 83001-0764 | 2007-07-03 |
| 1275581720 | Douglas C. Appleby Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 329 Coatsland Dr, Jackson, TN 38301-3912 | 2006-05-05 |
| 1639176472 | Vern Antoine Keller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 971 Lakeland Dr Ste 657, Jackson, MS 39216-4608 | 2005-07-07 |
| 1942740311 | W. A. Foote Memorial Hospital, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 205 N East Ave, Jackson, MI 49201-1753 | 2017-03-03 |
| 1134462849 | Ali Dodge-khatami | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 N State St, Division of Pediatric Cardiac Surgery, Jackson, MS 39216-4500 | 2013-04-01 |
| 1306077672 | Robert B Lee Md Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1860 Chadwick Dr, Suite 352, Jackson, MS 39204-3463 | 2009-08-04 |
| 1538396056 | St. Dominic Medical Associates Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 971 Lakeland Dr, Suite 1159, Jackson, MS 39216-4643 | 2009-06-11 |
| 1972743797 | Jacob Moremen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 North State Street, Jackson, MS 39216-4500 | 2009-03-06 |
| 1831342054 | St Dominic Medical Associates LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 970 Lakeland Dr Ste 61, Jackson, MS 39216-4634 | 2008-10-31 |
| Find all providers in JACKSON | ||||
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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.