Macie Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MACIE MEDICAL

Doing business as

Macie Medical

Practice address

777 S Fry Rd Ste 206
Katy, TX 77450-2297

Phone

(713) 300-3905

Fax

(713) 561-3890

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Judith Aniekwena, MDNPI 1164954640

Title

Physician

Phone

(713) 300-3905

Specialties & licenses 1

Addresses

Other names 1

• Macie Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Judith Aniekwena, MD

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1164954640
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1093452229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S FRY RD STE 206",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502297",
            "telephone_number": "713-300-3905",
            "fax_number": "713-561-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S FRY RD STE 206",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502297",
            "telephone_number": "713-300-3905",
            "fax_number": "713-561-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACIE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "ANIEKWENA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-300-3905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macie Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Macie Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Maccagnan, M.A.
• Ethel Mae Maccallum, OTR
• Lisa Storey Macha, DO
• Patrick J Machado
• Machaseh Health Services LLC
• David Mack
• Felicity L Mack, M.D.
• Stephen Alexander Mack, APRN-CNP; PMHNP-C
• Jessica Mackeen
• Lisa Kay Macmaster, FNP-C

• Internal Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.