Active NPI
Eugene Scott Mackie, M.D.
- Otolaryngology Physician
- Edinburg, TX
National Provider Identifier
1407801103
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- F8559
- Practice address
- 2709 Cornerstone Blvd
Edinburg, TX 78539-8464 - Phone
- (956) 631-2927
- Fax
- (956) 631-1983
- NPI assigned
- May 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | F8559 | TX | Primary |
Addresses
Primary practice location
2709 Cornerstone Blvd
Edinburg, TX 78539-8464
Mailing address
2401 Cornerstone Blvd
Edinburg, TX 78539-3475
Phone (956) 631-2957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133102710 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Ear Nose & Throat Specialist PA | Otolaryngology | Past | Accepting new patients |
| Leonard J. Tesoro M.D. | Otolaryngology | Past | Accepting new patients |
| Clinical Associates, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Grapevine, TX
- NPI 1518265966
-
- Otolaryngology Physician
- Pharr, TX
- NPI 1841403656
-
- Otolaryngology Physician
- McAllen, TX
- NPI 1386648798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1407801103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 CORNERSTONE BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785393475",
"telephone_number": "956-631-2957",
"fax_number": "956-631-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 CORNERSTONE BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398464",
"telephone_number": "956-631-2927",
"fax_number": "956-631-1983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKIE",
"first_name": "EUGENE",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "F8559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133102710",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.