Active NPI
Sarah Elizabeth Mackay, M.D.
- Pediatrics Physician
- Wenatchee, WA
National Provider Identifier
1003341819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 61122912
- Practice address
- 600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800 - Phone
- (509) 662-6000
- Fax
- (509) 664-4590
- NPI assigned
- Apr 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 70736-20 | WI | |
| Hospitalist Physician | 208M00000X | 70736-20 | WI | |
| Pediatrics Physician | 208000000X | 61122912 | WA | Primary |
Addresses
Primary practice location
600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800
Mailing address
600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000
Other names 1
- Sarah Elizabeth Clark
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61122912 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Valley Community Health | Current | Accepting new patients | |
| Columbia Valley Community Health | Current | Accepting new patients | |
| Columbia Valley Community Health | Current | Accepting new patients |
Locations
900 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000
940 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000
600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575
Interoperability endpoints
- sarah.mackay.1@10575.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Wenatchee, WA
- NPI 1487650636
-
- Federally Qualified Health Center (FQHC)
- East Wenatchee, WA
- NPI 1174417919
-
- Federally Qualified Health Center (FQHC)
- Wenatchee, WA
- NPI 1346266152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1003341819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 ORONDO AVE",
"address_2": "STE 1",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012800",
"telephone_number": "509-662-6000",
"fax_number": "509-664-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ORONDO AVE",
"address_2": "STE 1",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012800",
"telephone_number": "509-662-6000",
"fax_number": "509-664-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKAY",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-30",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "70736-20",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "70736-20",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "61122912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "CLARK",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.