Organization Active NPI

Macony, PC

  • Pediatrics Physician
  • Great Barrington, MA
National Provider Identifier
1023027810
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MACONY, PC
Practice address
100 Maple Ave Ste 1
Great Barrington, MA 01230-1965
Phone
(413) 528-4047
Fax
(413) 528-3407
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Laurie W Viebrock
Title
Office Manager
Phone
(413) 528-4047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MA Primary

Addresses

Primary practice location

100 Maple Ave Ste 1
Great Barrington, MA 01230-1965

Mailing address

100 Maple Ave Ste 1
Great Barrington, MA 01230-1965
Phone (413) 528-4047

Other identifiers 2

IdentifierTypeStateIssuer
9778754MedicaidMA
01682324MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023027810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAPLE AVE STE 1",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301965",
            "telephone_number": "413-528-4047",
            "fax_number": "413-528-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAPLE AVE STE 1",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301965",
            "telephone_number": "413-528-4047",
            "fax_number": "413-528-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACONY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIEBROCK",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "413-528-4047",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9778754",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01682324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.