Active NPI
Juris M Macs, M.D.
- Surgery Physician
- Aberdeen, WA
National Provider Identifier
1568411494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00010490
- Practice address
- 1006 N H St
5TH Floor
Aberdeen, WA 98520-2521 - Phone
- (360) 537-6414
- Fax
- (360) 532-6878
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00010490 | WA | Primary |
Addresses
Primary practice location
1006 N H St
5TH Floor
Aberdeen, WA 98520-2521
Mailing address
1006 N H St
5TH Floor
Aberdeen, WA 98520-2521
Phone (360) 537-6414
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A003 | Other | WA | TRICARE |
| MA1607 | Other | WA | COUNTY |
| 022161238 | Other | WA | MEDICARE RR PROVIDER |
| 8914472 | Other | WA | CRIME VICTIMS |
| 115141600 | Other | WA | MEDICARE GROUP |
| 000800078 | Other | WA | MEDICARE PROVIDER |
| 1532605 | Medicaid | WA | |
| DC4850 | Other | WA | RR MEDICARE |
| 335846100 | Other | WA | US DEPT OF LABOR |
| 0012648 | Other | WA | WA LI PROVIDER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00010490 | WA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1568411494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 N H ST",
"address_2": "5TH FLOOR",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202521",
"telephone_number": "360-537-6414",
"fax_number": "360-532-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N H ST",
"address_2": "5TH FLOOR",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202521",
"telephone_number": "360-537-6414",
"fax_number": "360-532-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACS",
"first_name": "JURIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00010490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A003",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY",
"identifier": "MA1607",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PROVIDER",
"identifier": "022161238",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8914472",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "115141600",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER",
"identifier": "000800078",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1532605",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DC4850",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "335846100",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LI PROVIDER",
"identifier": "0012648",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.