Gregory Thomas Mack, ACE-CMES

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

C10803 Issued in OH

Practice address

2624 Billingsley Rd
Columbus, OH 43235-1924

Phone

(614) 989-1465

NPI assigned

Sep 25, 2018

Last updated

Sep 25, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1184109290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 BILLINGSLEY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351924",
            "telephone_number": "614-989-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 BILLINGSLEY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351924",
            "telephone_number": "614-989-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "credential": "ACE-CMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "OH",
            "license": "C10803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Macharoni, PSY.D.
• Aaron Christopher Mack, MD
• Carla Jean Mack, O.D.
• Donald Owen Mack, MD
• Dymond Mack
• Kaitlin Marie Mack, CNP
• Karen Marie Mack, RPH
• Keysha Mack
• Nathaniel Mack, MD
• Trevor Hayden Mack, CRNA

• Clinical Exercise Physiologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Exercise Physiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.