Mary Cordner Macfarlane, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

AA1161 Issued in AK

Practice address

1919 Lathrop St
Suite 100
Fairbanks, AK 99701-5930

Phone

(907) 452-1761

Fax

(907) 451-3321

NPI assigned

Nov 27, 2006

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467528042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 WILLOW GROUSE RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121247",
            "telephone_number": "907-457-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 100",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015930",
            "telephone_number": "907-452-1761",
            "fax_number": "907-451-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACFARLANE",
        "first_name": "MARY",
        "middle_name": "CORDNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "AA1161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1161",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siobhan Lynch, L.C.S.W.
• Emily Margaret Lyngholm
• Lynn E and Delamour R. Kriley
• Teresa Ann Brown Lyons, NP
• M Paige Dda & JM Bressler DDS at Fairbanks LLC
• Natalie Esilda Macke, OD
• W. Henry Macpherson
• Lara Maddox
• Eleonora Madonia
• Sarah Madsen, RN, PMHNP, SLP-CCC

• Pediatrics Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Pediatrics Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.