Mack Vein Specialists

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

MACK VEIN SPECIALISTS

Practice address

605 Sierra Rose Dr Ste 4
Reno, NV 89511-2093

Phone

(775) 451-1730

Fax

(775) 451-1713

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Anwar Selassie Mack, MD

Title

President

Phone

(832) 744-0949

Specialties & licenses 1

Addresses

Other names 1

• Great Basin Vein Specialists Doing business as

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1114700770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SIERRA ROSE DR STE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112093",
            "telephone_number": "775-451-1730",
            "fax_number": "775-451-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SIERRA ROSE DR STE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112093",
            "telephone_number": "775-451-1730",
            "fax_number": "775-451-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK VEIN SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_middle_name": "SELASSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-744-0949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Basin Vein Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leilani Machoca
• Brigette Marie Machutta-Villalobos
• Kyle Machynia
• Juan L Macias, MD
• Rosemary Louise Maciel, QMHA
• Anwar Mack, MD
• Jung Mackessy, OTR/L
• Dennis A Mackey, MD
• Karen Mackey
• Mackey, O'Donnell and Palosaari, LTD

• Pain Medicine (Anesthesiology) Physician in Reno, NV
• Providers in Reno, NV by specialty
• Pain Medicine (Anesthesiology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.