Mark T Machuga P a

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0004967 Issued in FL

Legal business name

MARK T MACHUGA P A

Practice address

1554 Boren Dr Ste 300
Ocoee, FL 34761-2986

Phone

(407) 877-9771

Fax

(407) 877-8505

NPI assigned

Jun 13, 2009

Organization subpart

No

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

Authorized official

Name

Mark T Machuga, D.C.

Title

President

Phone

(407) 877-9771

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• Direct secure messaging: drmachuga@drmarktmachugadcpa.myhcdirect.com

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

{
    "created_epoch": "1244851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1114154457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 BOREN DR STE 300",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612986",
            "telephone_number": "407-877-9771",
            "fax_number": "407-877-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 BOREN DR STE 300",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612986",
            "telephone_number": "407-877-9771",
            "fax_number": "407-877-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T MACHUGA P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-13",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "MACHUGA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-877-9771",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050497100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Maluso, MD
• Bryan Manarte
• Jose M Mandry, M.D.
• Mary Kathleen Mandry, RD, LD/N
• Parimal Bhupendra Maniar, M.D.
• Lanna Marseille
• Scott David Marsel, MD
• Javier Ernesto Martinez, DDS, MS, PA
• Maurice Mascoe, MD
• Nicole Marie Massa Arroyo

• Chiropractor in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.