Judy a Macy MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301407155 Issued in MI

Legal business name

JUDY A MACY MD PC

Practice address

167 Cole Rd
Monroe, MI 48162-4106

Phone

(734) 457-0455

Fax

(734) 457-0695

NPI assigned

Aug 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Judy A Macy, MDNPI 1750337804

Title

President

Phone

(734) 457-0455

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Judy A Macy, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Monroe, MI
  • NPI 1750337804
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1497003305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624106",
            "telephone_number": "734-457-0455",
            "fax_number": "734-457-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624106",
            "telephone_number": "734-457-0455",
            "fax_number": "734-457-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY A MACY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "MACY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-457-0455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301407155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102649578",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charles Olen Justice, MSW
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• Abdul Kabir, MD
• Derek Patrick Kaczor, D.C

• Specialist in Monroe, MI
• Providers in Monroe, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.