Active NPI
John Fraser Mackenzie, M.D.
- Forensic Pathology Physician
- Harvey, LA
National Provider Identifier
1609056183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 011214
- Practice address
- 2018 8TH St
Harvey, LA 70058-4002 - Phone
- (504) 365-9100
- Fax
- (504) 365-1731
- NPI assigned
- Nov 13, 2007
- 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 |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 011214 | LA | Primary |
Addresses
Primary practice location
2018 8TH St
Harvey, LA 70058-4002
Mailing address
2018 8TH St
Harvey, LA 70058-4002
Phone (504) 365-9100
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 |
|---|---|---|---|
| 011214 | LA | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1609056183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 8TH ST",
"city": "HARVEY",
"state": "LA",
"postal_code": "700584002",
"telephone_number": "504-365-9100",
"fax_number": "504-365-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 8TH ST",
"city": "HARVEY",
"state": "LA",
"postal_code": "700584002",
"telephone_number": "504-365-9100",
"fax_number": "504-365-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKENZIE",
"first_name": "JOHN",
"middle_name": "FRASER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "LA",
"license": "011214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.