Active NPI
Macomb Medical Associates, LLC
- Orthopaedic Surgery Physician
- Macomb, IL
National Provider Identifier
1568523314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MACOMB MEDICAL ASSOCIATES, LLC
- Practice address
- 505 E Grant St
Suite 302
Macomb, IL 61455-3352 - Phone
- (309) 836-1509
- Fax
- (309) 836-1547
- NPI assigned
- Dec 13, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrian Macgregor
- Title
- Director
- Phone
- (309) 836-1509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
505 E Grant St
Suite 302
Macomb, IL 61455-3352
Mailing address
505 E Grant St
Suite 302
Macomb, IL 61455-3352
Phone (309) 836-1509
National Provider Directory
National Provider DirectoryLocations
505 E Grant St
Ste 302
Macomb, IL 61455
Phone (309) 836-1509
909 E Grant St
Ste A
Macomb, IL 61455
Phone (309) 836-6772
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Macomb, IL
- NPI 1396810644
-
- Orthopaedic Surgery Physician
- Clinton Township, MI
- NPI 1609856368
-
- Orthopaedic Surgery Physician
- Hampton, VA
- NPI 1225073471
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1760419402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568523314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E GRANT ST",
"address_2": "SUITE 302",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553352",
"telephone_number": "309-836-1509",
"fax_number": "309-836-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E GRANT ST",
"address_2": "SUITE 302",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553352",
"telephone_number": "309-836-1509",
"fax_number": "309-836-1547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACOMB MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MACGREGOR",
"authorized_official_first_name": "ADRIAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "309-836-1509"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.