Mary S Mackoul

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA3559 Issued in FL

Practice address

206 SE 16TH PL
Cape Coral, FL 33990-1329

Phone

(239) 829-1747

Fax

(239) 829-1746

NPI assigned

May 2, 2013

Sex

Female

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

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13514/brand/1/csg/1/fhir/r4

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.

• David a Mackoul, M.D., P.a.

  dba MacKoul Pediatrics

  • Pediatrics Physician
  • Cape Coral, FL
  • NPI 1659389948
  NPD (past)

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1225473374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901329",
            "telephone_number": "239-829-1747",
            "fax_number": "239-829-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901329",
            "telephone_number": "239-829-1747",
            "fax_number": "239-829-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKOUL",
        "first_name": "MARY",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA3559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Macias
• Victor Orosco Macias, M.D.
• Elizabeth Lauren Mackenzie, APRN
• Christine M Mackie, M.D.
• David A Mackoul, MD
• Bambi Lynn Macpherson, LCSW-C
• Madmac, Inc (Miracle Ear)
• Madmac, Inc. (Miracle-Ear)
• Elian Madrazo Sr.
• Diannys Madrigal Leon

• Speech-Language Pathologist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.