Michael J. Mack, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

F6018 Issued in TX

Practice address

4708 Alliance Blvd
Suite 700, Pavillion I
Plano, TX 75093-5340

Phone

(972) 596-6676

Fax

(972) 596-7078

NPI assigned

Oct 7, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmack225335@direct.sw.org

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Texas Heart Hospital of the Southwest, LLC

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340

  General Partnership Interest

  CMS ownership
• Thhbp Management Company LLC

  • Rehabilitation Hospital Unit
  • Denton, TX
  • NPI 1033938451

  General Partnership Interest

  CMS ownership
• Thhbp Management Company LLC

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1194753590

  General Partnership Interest

  CMS ownership
• Thhbp Management Company LLC

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1669213831

  General Partnership Interest

  CMS ownership

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.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Cardiovascular Specialty Associates of North Texas, P.a.

  • Vascular Surgery Physician
  • Rockwall, TX
  • NPI 1780851915
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1376531913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 700, PAVILLION I",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "972-596-6676",
            "fax_number": "972-596-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 700, PAVILLION I",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "972-596-6676",
            "fax_number": "972-596-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "F6018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115911305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R Macdonald, M.D.
• Michelle Heffner Macera, PH.D.
• Forrest Joseph Macfarlane, B.S., M.ED. LPC
• Cassondra Machac
• Allison Machado
• Laura Macke
• Donald Mackenzie, M.D.
• Ava Mae Macmiller, MS, CF-SLP
• Jessica Macwan
• Alia Habib Madani, PA

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Plano, TX
• Providers in Plano, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.