STEWART A MACKIE (NPI# 1558563551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558563551 |
| Entity Type | Individual |
| Full Name | STEWART A MACKIE |
| Credential | M.D. |
| Practice Address |
50 Wason Ave 1st Floor Springfield MA 01107-1274 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137945437 |
| Practice Fax Number | 4137947408 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2017-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | LP01101 | RI | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
254559 | MA | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
4301096262 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
50 WASON AVE 1ST FLOOR |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265413009 | Anastasios G Angelides | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2005-11-09 |
| 1932727203 | Georgianna Rose Shea | Nurse Practitioner | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2020-07-13 |
| 1588118350 | Courtney Manning | Genetic Counselor, MS | 50 Wason Ave, Springfield, MA 01107-1274 | 2016-08-10 |
| 1457708455 | Samantha Mccarthy | Dietitian, Registered | 50 Wason Ave, Springfield, MA 01107-1274 | 2016-05-19 |
| 1881057800 | Baystate Developmental Behavioral Pediatrics | Psychologist | 50 Wason Ave, 1st. Floor, Springfield, MA 01107-1274 | 2016-03-29 |
| 1912370438 | Brenda Peters | Behavioral Analyst | 50 Wason Ave, Springfield, MA 01107-1132 | 2015-11-05 |
| 1053795351 | Shayl Griffith | Student in an Organized Health Care Education/Training Program | 50 Wason Ave, Springfield, MA 01107-1132 | 2015-07-16 |
| 1043620859 | Lisa Laprade | Dietitian, Registered | 50 Wason Ave, 1st Floor, Springfield, MA 01107-1132 | 2014-05-01 |
| 1245650225 | Baystate Pharmacy | Pharmacy | 50 Wason Ave, Springfield, MA 01107-1132 | 2014-04-17 |
| 1669898565 | Ruth Kurniawati | Physician Assistant | 50 Wason Ave, Springfield, MA 01107-1132 | 2014-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699153791 | Siddharth Dubey | Pediatrics | 400 N 9th St Fl 2, Springfield, IL 62702-5310 | 2015-05-11 |
| 1023090875 | Ramzi Toufic Nicolas | Pediatrics | 619 E Mason St Ste 5, Springfield, IL 62701-1080 | 2005-11-17 |
| 1710983291 | Armin Jared Wagman | Pediatrics | 4350 S National Ave, # C-100, Springfield, MO 65810-2607 | 2005-06-21 |
| 1447686415 | Lamya Mubayed | Pediatrics | 400 N 9th St, Springfield, IL 62702-5310 | 2013-09-22 |
| 1881836724 | Eric Anders Johnson | Pediatrics | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2009-03-24 |
| 1841486263 | Hani S Ghawi | Pediatrics | 619 E Mason St, 5th Floor, Springfield, IL 62701-1034 | 2007-09-19 |
| 1912098831 | Thomas W Rowland | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2006-09-27 |
| 1881793941 | Anna Tsirka | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2006-09-22 |
| 1275556771 | Siu Physicians & Surgeons, Inc | Pediatrics | 701 N 1st St, D235, Springfield, IL 62781-0001 | 2006-07-25 |
| 1003812504 | Alan Dare Tong | Pediatrics | 4350 S National Ave, Suite C 100, Springfield, MO 65810-2607 | 2005-06-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.