Paul Edward Mackell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25320 Issued in CO

Practice address

588 US Highway 287
Suite 204
Lafayette, CO 80026-2604

Phone

(303) 666-4606

Fax

(303) 666-4610

NPI assigned

Jan 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1124174453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4269 CARTER TRL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013805",
            "telephone_number": "303-666-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 US HIGHWAY 287",
            "address_2": "SUITE 204",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262604",
            "telephone_number": "303-666-4606",
            "fax_number": "303-666-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKELL",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "25320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01253202",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NPI",
            "identifier": "1639358518",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debora Ma, MD
• Jill S Maaske, MD
• James F Macdougall, MD
• Andrea Leigh Machacek, RN
• Esperanza Macias
• Clare Mackin
• Jorden Leigh Mackin, RN
• Rose Kimberly Macleod
• Cassandra Lynn Madsen, MS, CGC
• Daus Mahnke, M.D.

• Family Medicine Physician in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.