Active NPI
Scott T Mackey, M.D.
- Family Medicine Physician
- Dublin, OH
National Provider Identifier
1609987031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35063916
- Practice address
- 6350 Frantz Rd
Suite E
Dublin, OH 43017-1382 - Phone
- (614) 764-5600
- Fax
- (614) 764-5605
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35063916 | OH | Primary |
Addresses
Primary practice location
6350 Frantz Rd
Suite E
Dublin, OH 43017-1382
Mailing address
6350 Frantz Rd
Suite E
Dublin, OH 43017-1382
Phone (614) 764-5600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000321296 | Other | OH | ANTHEM BC BS |
| 311070934 | Other | OH | TAX ID FOR OTHER PLANS |
| 000000321296 | Other | OH | UNICARE |
| 311070934 | Other | OH | TAX ID UNITEDHEALTHCARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35063916 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Current | Accepting new patients | |
| Mary Rutan Hospital | Family Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Radiology Inc | Past | Accepting new patients | |
| Dublin Medical Clinic Inc II | Family Medicine | Past | Accepting new patients |
Locations
205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Family Medicine Physician
- Dublin, OH
- NPI 1053465336
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- West Liberty, OH
- NPI 1003875949
-
- Diagnostic Radiology Physician
- Dublin, OH
- NPI 1609865708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609987031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 FRANTZ RD",
"address_2": "SUITE E",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171382",
"telephone_number": "614-764-5600",
"fax_number": "614-764-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 FRANTZ RD",
"address_2": "SUITE E",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171382",
"telephone_number": "614-764-5600",
"fax_number": "614-764-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "SCOTT",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35063916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "000000321296",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID FOR OTHER PLANS",
"identifier": "311070934",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000321296",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID UNITEDHEALTHCARE",
"identifier": "311070934",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.