Ernest Mak MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

41742 Issued in TN

Legal business name

ERNEST MAK MD PC

Practice address

1589 Sparta St
Suite 101
MC Minnville, TN 37110-1390

Phone

(931) 815-8300

NPI assigned

Nov 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernest Mak, MD

Title

Physician

Phone

(931) 815-8300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306910732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SPARTA ST",
            "address_2": "SUITE 101",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101390",
            "telephone_number": "931-815-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 SPARTA ST",
            "address_2": "SUITE 101",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101390",
            "telephone_number": "931-815-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST MAK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "931-815-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "41742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.