Glenn A Mackay (NPI# 1356457006, PAC ID# 9032131073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1356457006 |
| PAC ID by PECOS | 9032131073 |
| Professional Enrollment ID | I20051219000864 |
| Full Name | Glenn A Mackay |
| Organization Legal Name | KC INFECTIOUS DISEASE CONSULTANTS, LLC |
| Address |
7255 Renner Rd Shawnee KS 66217-3043 |
| Phone Number | 9136310405 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1998 |
| Primary Specialty | INFECTIOUS DISEASE |
| Group Practice PAC ID | 1658697610 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170146 | PROVIDENCE MEDICAL CENTER |
| 170049 | OLATHE MEDICAL CENTER |
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7255 Renner Rd, Shawnee, KS 66217-3043 | 9136310405 | KC INFECTIOUS DISEASE CONSULTANTS, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | KC INFECTIOUS DISEASE CONSULTANTS, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samir Rajendra Desai | Infectious Disease | Kc Infectious Disease Consultants, LLC | 7255 Renner Rd, Shawnee, KS 66217-3043 |
| Arundhati S Desai | Infectious Disease | Kc Infectious Disease Consultants, LLC | 7255 Renner Rd, Shawnee, KS 66217-3043 |
| Street Address |
7255 RENNER RD |
| City | SHAWNEE |
| State | KS |
| Zip | 66217-3043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samir Rajendra Desai | Infectious Disease | Kc Infectious Disease Consultants, LLC | 7255 Renner Rd, Shawnee, KS 66217-3043 |
| Arundhati S Desai | Infectious Disease | Kc Infectious Disease Consultants, LLC | 7255 Renner Rd, Shawnee, KS 66217-3043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin A Coleman | Chiropractic | Swickard Chiropractic Clinic of Shawnee, Pa | 17202 Midland Dr, Shawnee, KS 66217-8901 |
| Mark A Swickard | Chiropractic | Swickard Chiropractic Clinic of Shawnee, Pa | 17202 Midland Dr, Shawnee, KS 66217-8901 |
| Jonathan A Eck | Optometry | 16100 W 65th St, Shawnee, KS 66217-9301 | |
| Erin T Latter | Optometry | 15700 Shawnee Mission Pkwy, Shawnee, KS 66217-9321 | |
| Dustin H Moses | Chiropractic | 15945 W 65th St, Shawnee, KS 66217-9342 | |
| Madison M Ruelle | Optometry | Eye Associates of Shawnee Pa | 15951 W 65th St, Shawnee, KS 66217-9342 |
| Daniel J Love | Nurse Practitioner | Jayhawk Primary Care Inc | 7405 Renner Rd, Shawnee, KS 66217-9414 |
| Amanda F Cavlovich | Nurse Practitioner | Jayhawk Primary Care Inc | 7405 Renner Rd, Shawnee, KS 66217-9414 |
| Amanda N Scott | Physician Assistant | Jayhawk Primary Care Inc | 7405 Renner Rd, Shawnee, KS 66217-9414 |
| Girma T Assefa | Family Medicine | Jayhawk Primary Care Inc | 7405 Renner Rd, Shawnee, KS 66217-9414 |
| Find all physicians in zip 66217 | |||
| City | SHAWNEE |
| Zip Code | 66217 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | SHAWNEE + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Glenn A Mackay.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.