Individual provider Active NPI

Mackenzie Brynne Marley, DO

  • Obstetrics & Gynecology Physician
  • Akron, OH
National Provider Identifier
1508362948
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.015894 Issued in OH
Practice address
605 N Cleveland Massillon Rd Ste a
Akron, OH 44333-2200
Phone
(330) 668-6545
Fax
(330) 668-2726
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 34.015894 OH Primary

Addresses

Primary practice location

605 N Cleveland Massillon Rd Ste a
Akron, OH 44333-2200

Mailing address

605 N Cleveland Massillon Rd Ste a
Akron, OH 44333-2200
Phone (330) 668-6545

Other practice location 1

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810002388 OH Practitioner - Obstetrics/Gynecology 4486907946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio University, College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maternohio Clinical Associates LLCGroup PAC ID 4587695192, 56 clinicians

Practice addresses (Care Compare)

275 Graham Rd
Suite 6
Cuyahoga Falls, OH 44223-2259
Phone (330) 668-6545

605 N Cleveland Massillon Rd
Suite a
Akron, OH 44333-2200
Phone (330) 668-6545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.015894OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maternohio Clinical Associates LLC CurrentSince Sep 1, 2025 Accepting new patients
Summa Health System Past Accepting new patients
Akron General Medical Center Past Accepting new patients

Locations

1315 W Lane Ave
Ste D
Columbus, OH 43221
Phone (614) 457-4827

275 Graham Rd
Ste 6
Cuyahoga Falls, OH 44223
Phone (330) 668-6545

605 N Cleveland Massillon Rd
Ste A
Fairlawn, OH 44333
Phone (330) 668-6545

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1508362948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N CLEVELAND MASSILLON RD STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332200",
            "telephone_number": "330-668-6545",
            "fax_number": "330-668-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N CLEVELAND MASSILLON RD STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332200",
            "telephone_number": "330-668-6545",
            "fax_number": "330-668-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Akron General Ave",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443072432",
            "country_code": "US",
            "telephone_number": "330-344-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARLEY",
        "first_name": "MACKENZIE",
        "middle_name": "BRYNNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.015894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.