Douglas J. Mackenzie, M.D., Inc.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A48683 Issued in CA

Legal business name

DOUGLAS J. MACKENZIE, M.D., INC.

Practice address

1722 State St
Suite 102
Santa Barbara, CA 93101-2458

Phone

(805) 898-0700

Fax

(805) 898-0600

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas J. Mackenzie, M.D.NPI 1174557623

Title

President

Phone

(805) 898-0700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pacific Plastic Surgery Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Joseph Mackenzie, MD

  • Plastic and Reconstructive Surgery Physician
  • Murfreesboro, TN
  • NPI 1174557623
  NPD (past) Authorized official
• Wendy Sue Brunet, NP-C

  • Acute Care Nurse Practitioner
  • Santa Barbara, CA
  • NPI 1386889624
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1447477708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 STATE ST",
            "address_2": "SUITE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012458",
            "telephone_number": "805-898-0700",
            "fax_number": "805-898-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 STATE ST",
            "address_2": "SUITE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012458",
            "telephone_number": "805-898-0700",
            "fax_number": "805-898-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J. MACKENZIE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-898-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A48683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER#",
            "identifier": "1174557623",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICS",
            "identifier": "A48683",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Plastic Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Dosch, M.D.
• Shaylen Doss, NP
• Dossmd
• Catherine B Dougher, PHD
• Alexis Dougherty, MD
• Paul L. Douglas, M.D.
• Sarah Hughes Douglas, LMFT
• Jared Dowhower, PMHNP
• Craig Timothy Downen, D.D.S.
• Elizabeth A Downing, MD

• Plastic and Reconstructive Surgery Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.