Active NPI
Mary A Macsalka, M.D.
- Gynecology Physician
- Boulder, CO
National Provider Identifier
1205942422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 16156
- Practice address
- 4745 Arapahoe Ave Ste 110
Boulder, CO 80303-1082 - Phone
- (303) 444-5110
- Fax
- (303) 444-7457
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 16156 | CO | Primary |
Addresses
Primary practice location
4745 Arapahoe Ave Ste 110
Boulder, CO 80303-1082
Mailing address
4745 Arapahoe Ave Ste 110
Boulder, CO 80303-1082
Phone (303) 444-5110
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16156 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cchmd Corp | Gynecology | Current | Accepting new patients |
Locations
4745 Arapahoe Ave
Ste 110
Boulder, CO 80303
Phone (303) 444-5110
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205942422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4745 ARAPAHOE AVE STE 110",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031082",
"telephone_number": "303-444-5110",
"fax_number": "303-444-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 ARAPAHOE AVE STE 110",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031082",
"telephone_number": "303-444-5110",
"fax_number": "303-444-7457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACSALKA",
"first_name": "MARY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CO",
"license": "16156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.