Active NPI
Edward G Mackay, MD and Associates, LLC
- Vascular Surgery Physician
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- EDWARD G MACKAY, MD AND ASSOCIATES, LLC
- Practice address
- 2863 Alternate 19 North
Palm Harbor, FL 34683 - Phone
- (727) 781-5652
- Fax
- (727) 781-3792
- NPI assigned
- Jan 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward G Mackay, MD
- Title
- Partner
- Phone
- (727) 781-5652
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | |||
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
2863 Alternate 19 North
Palm Harbor, FL 34683
Mailing address
2863 Alternate 19 North
Palm Harbor, FL 34683
Phone (727) 781-5652
Other practice location 1
2051 W Bay Dr
Largo, FL 33770-1924
Phone (727) 581-8346
Other practice location 2
7601 Dr Martin Luther King Jr St N Ste C2
St Petersburg, FL 33702-5200
Phone (727) 527-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2051 West Bay Dr
Ste 1
Largo, FL 33770
2863 Alt 19
Ste 1
Palm Harbor, FL 34683
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Palm Harbor, FL
- NPI 1770548505
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1518493568
-
- Vascular Surgery Physician
- Safety Harbor, FL
- NPI 1740289404
-
- Medical Physician Assistant
- Palm Harbor, FL
- NPI 1295702371
-
- Surgical Physician Assistant
- Palm Harbor, FL
- NPI 1952526329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548288000000",
"number": "1043774003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2863 ALTERNATE 19 NORTH",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "34683",
"telephone_number": "727-781-5652",
"fax_number": "727-781-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2863 ALTERNATE 19 NORTH",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "34683",
"telephone_number": "727-781-5652",
"fax_number": "727-781-3792"
}
],
"practiceLocations": [
{
"address_1": "2051 W Bay Dr",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337701924",
"country_code": "US",
"telephone_number": "727-581-8346",
"fax_number": "727-781-3792",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7601 Dr Martin Luther King Jr St N Ste C2",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337025200",
"country_code": "US",
"telephone_number": "727-527-2888",
"fax_number": "727-781-3792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EDWARD G MACKAY, MD AND ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A",
"authorized_official_last_name": "MACKAY",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "727-781-5652",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.