Individual provider Active NPI

Janet S. Mackenzie, M.D.

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1194826248
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0074046 Issued in MD
Practice address
3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308
Phone
(877) 866-7123
NPI assigned
Sep 25, 2006
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0074046 MD Primary
Plastic Surgery Physician 208200000X 6411A WY
Plastic Surgery Physician 208200000X 249985 NY

Addresses

Primary practice location

3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308

Mailing address

653 Burtons Cove Way Unit 10
Annapolis, MD 21401-8749
Phone (301) 318-7291

Other identifiers 1

IdentifierTypeStateIssuer
03164385MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131028000690 MD Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 0840279295 Reassigns benefits to 1 organization
I20131228000085 DC Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 0840279295 Reassigns benefits to 1 organization
I20240703000323 CO Practitioner - Plastic and Reconstructive Surgery 0840279295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
990WYMDGeneral Practice Dentistry
249985NYMDPlastic Surgery Physician
6411AWYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Colorado Medical Group, PLLC Family Medicine CurrentSince Jun 17, 2024 Accepting new patients
Colorado Medical Group, PLLC PastSince Oct 1, 2020 Accepting new patients
Cny Facial Surgery Group, PC PastSince Jul 8, 2014 Accepting new patients

Locations

6979 S Holly Cir
Ste 125
Centennial, CO 80112

3665 John F Kennedy Pkwy
Bldg 200
Fort Collins, CO 80525

1551 Professional Ln
Unit 241
Longmont, CO 80501

100 M St SE
Ste 600
Washington, DC 20003
Phone (202) 574-5700

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

711 Academy Rd
Catonsville, MD 21228
Phone (410) 788-3300

10320 Little Patuxent Pkwy
Ste 200
Columbia, MD 21044
Phone (703) 988-2360

3000 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 461-7577

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1194826248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 BURTONS COVE WAY UNIT 10",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018749",
            "telephone_number": "301-318-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "address_2": "SUITE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "JANET",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0074046",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WY",
            "license": "6411A",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "249985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03164385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.