JEREMY JAMES MACKE (NPI# 1669765095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669765095 |
| Entity Type | Individual |
| Full Name | JEREMY JAMES MACKE |
| Credential | MD |
| Practice Address |
2423 Scots Pine Xing Durham NC 27713-6221 |
| Mailing Address |
3707 New Vision Dr Fort Wayne IN 46845-1702 |
| Practice Telephone | 3215584576 |
| Mailing Telephone | 2604719466 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2017-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2015-02046 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2423 SCOTS PINE XING |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-6221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578053534 | Gary Sulioti | Radiology | 1905 Children's Health Center, Durham, NC 27710-0001 | 2018-05-15 |
| 1841671690 | Christopher Swenson | Radiology | 1905 Childrens Health Ctr, Duke Department of Radiology, Durham, NC 27710-0001 | 2015-06-17 |
| 1689089013 | Holly Lynn Nichols | Radiology | 2301 Erwin Road, Duke University Hospital North, Department of Radiology, Durham, NC 27710 | 2014-06-24 |
| 1033557418 | William Patton Perry | Radiology | Department of Radiology 2301 Erwin Road Room, Durham, NC 27710-0001 | 2013-06-07 |
| 1114363827 | John Wesley Latting | Radiology | 2301 Erwin Road Duke Radiology, Durham, NC 27710-5504 | 2013-05-21 |
| 1548603574 | Rajiv Girish Rao | Radiology | 2301 Erwin Rd Rm 1502, Durham, NC 27705 | 2013-04-09 |
| 1992042600 | Daniel Carl Sullivan | Radiology | 311 Research Dr, Durham, NC 27710-3023 | 2013-01-15 |
| 1962765172 | Jay Dayalal Tank | Radiology | 2530 Erwin Rd Apt 277, Durham, NC 27705-4767 | 2012-06-21 |
| 1417262080 | James Sc Ronald | Radiology | 9 Camberwell Ct, Durham, NC 27707-6038 | 2010-08-08 |
| 1306165345 | Bradford D Moore | Radiology | Duke University Medical Center Dept of Radiology, Division of Neuroradiology, Box 3808, Durham, NC 27710 | 2010-05-28 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on JEREMY JAMES MACKE.
| 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.