Stuart Fred Mackler, M.D.
Individual provider Active NPI Specialist · Franktown, VA
NPI 1124149539 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124149539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 0101023329 (VA)
- Practice address
- 7336 Gull Point Rd
Franktown, VA 23354-0099 - Phone
- (775) 744-2615
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101023329 | VA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101023329 | VA | Yes |
Addresses
Primary practice location
7336 Gull Point Rd
Franktown, VA 23354-0099
Mailing address
7336 Gull Point Rd
Franktown, VA 23354-0099
Phone (775) 744-2615
Other providers in Franktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.