Organization Active NPI

John F Mackenzie DO PC

  • Neurology Physician
  • Prescott, AZ
National Provider Identifier
1144331448
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
JOHN F MACKENZIE DO PC
Practice address
726 Gail Gardner Way
Suite B
Prescott, AZ 86305-2314
Phone
(928) 778-0060
Fax
(928) 778-0090
NPI assigned
Aug 31, 2006
Last updated
Oct 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
John F Mackenzie, DO
Title
President
Phone
(928) 778-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

726 Gail Gardner Way
Suite B
Prescott, AZ 86305-2314

Mailing address

PO Box 11826
Prescott, AZ 86304-1826
Phone (928) 778-0060

Other names 1

  • MACKENZIE NEUROLOGY Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1144331448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11826",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863041826",
            "telephone_number": "928-778-0060",
            "fax_number": "928-778-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 GAIL GARDNER WAY",
            "address_2": "SUITE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052314",
            "telephone_number": "928-778-0060",
            "fax_number": "928-778-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F MACKENZIE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-778-0060",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACKENZIE NEUROLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.