Active NPI
Christy A. Mackay, PAC
- Physician Assistant
- Akron, OH
National Provider Identifier
1033355326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.001450
- Practice address
- 1 Park West Blvd
Suite 200
Akron, OH 44320 - Phone
- (330) 869-9777
- Fax
- (330) 865-6011
- NPI assigned
- Dec 17, 2008
- Last updated
- Mar 1, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.001450 | OH | Primary |
| Physician Assistant | 363A00000X | 50-00-1451 | OH |
Addresses
Primary practice location
1 Park West Blvd
Suite 200
Akron, OH 44320
Mailing address
1 Park West Blvd
Suite 200
Akron, OH 44320
Phone (330) 869-9777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.001450 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revitalize Medical Group, LTD | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Akron, OH
- NPI 1265471148
-
- Obstetrics & Gynecology Physician
- Akron, OH
- NPI 1922443340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1033355326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARK WEST BLVD",
"address_2": "SUITE 200",
"city": "AKRON",
"state": "OH",
"postal_code": "44320",
"telephone_number": "330-869-9777",
"fax_number": "330-865-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK WEST BLVD",
"address_2": "SUITE 200",
"city": "AKRON",
"state": "OH",
"postal_code": "44320",
"telephone_number": "330-869-9777",
"fax_number": "330-865-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKAY",
"first_name": "CHRISTY",
"middle_name": "A.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-17",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.001450",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50-00-1451",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.