McKay Dermatology & Medspa, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME78235 Issued in FL

Legal business name

MCKAY DERMATOLOGY & MEDSPA, PA

Practice address

969 SE Central Pkwy
Stuart, FL 34994-3904

Phone

(772) 283-0109

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth McKay, M.D.NPI 1891869368

Title

President / Director

Phone

(772) 283-0109

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Elizabeth Gabel McKay, MD

  • Procedural Dermatology Physician
  • Stuart, FL
  • NPI 1891869368
  Medicare reassignment Care Compare group NPD Authorized official
• Ana Milena Alphonse, ARNP

  • Nurse Practitioner
  • Stuart, FL
  • NPI 1912553587
  Medicare reassignment Care Compare group NPD
• Michelle Budnick, PA-C

  • Medical Physician Assistant
  • Stuart, FL
  • NPI 1679636583
  Medicare reassignment Care Compare group
• Andrea Deptula Duane, PA-C

  • Physician Assistant
  • Stuart, FL
  • NPI 1275844326
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464393600000",
    "number": "1043668486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943904",
            "telephone_number": "772-283-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943904",
            "telephone_number": "772-283-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKAY DERMATOLOGY & MEDSPA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-28",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT / DIRECTOR",
        "authorized_official_telephone_number": "772-283-0109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME78235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miesha McIntosh-Kasbar, LMHC, MCAP
• Ashley Michelle McIntosh, FNP-C
• Kristen McIntyre, APRN
• Michelle K McIntyre, CNM
• Stephen E. McIntyre, M.D.
• Elizabeth Gabel McKay, MD
• Kevin M. McKay, D.C.
• Katherine L McKee
• Mackenzie June McKee, PA-C
• Krystal Leigh McKenzie

• Dermatology Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.