James C Mack II, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19608 Issued in KY

Practice address

2351 Huguenard Dr
Suite 200
Lexington, KY 40503

Phone

(859) 260-7700

Fax

(859) 260-7797

NPI assigned

Mar 23, 2006

Last updated

Dec 10, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1457310757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 HUGUENARD DR",
            "address_2": "STUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-260-7700",
            "fax_number": "859-260-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 HUGUENARD DR",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-260-7700",
            "fax_number": "859-260-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_suffix": "II",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "19608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64196082",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Macaulay, PHARMD
• Aaron Macdonald, A.T.C.
• Katherine Macfarlan, MSW
• Duncan Campbell Macivor, MD
• Emily Suzanne Mack, DO
• Mackey Clinic LLC
• John D Mackey, O.D.
• Linda L Mackey, DO
• Sharon Mackey
• Nilah Marie Maclean, APRN MSN PMHNP-BC

• Pediatrics Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.