1649343823 NPI number — JOHN MACY MD

Table of content: JOHN MACY MD (NPI 1649343823)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649343823 NPI number — JOHN MACY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MACY
Provider First Name:
JOHN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649343823
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/22/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
310 S ROOSEVELT AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GOLDENDALE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98620-9201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-773-4022
Provider Business Mailing Address Fax Number:
509-773-1941

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
711 E COLLINS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GOLDENDALE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98620-9237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-773-4017
Provider Business Practice Location Address Fax Number:
509-773-1941
Provider Enumeration Date:
11/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  MD00016704 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1351907 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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