Active NPI
Harald Sinclair Mackenzie, M.D.
- Nephrology Physician
- Concord, MA
National Provider Identifier
1497922439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 77111
- Practice address
- 422B Monument St
Concord, MA 01742-1810 - Phone
- (978) 729-4331
- NPI assigned
- May 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 77111 | MA | Primary |
Addresses
Primary practice location
422B Monument St
Concord, MA 01742-1810
Mailing address
PO Box 607
Concord, MA 01742-0607
Phone (978) 729-4331
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77111 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1497922439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 607",
"city": "CONCORD",
"state": "MA",
"postal_code": "017420607",
"telephone_number": "978-729-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422B MONUMENT ST",
"city": "CONCORD",
"state": "MA",
"postal_code": "017421810",
"telephone_number": "978-729-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKENZIE",
"first_name": "HARALD",
"middle_name": "SINCLAIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "77111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.