Individual provider Active NPI

Scott T Mackey, M.D.

  • Family Medicine Physician
  • Dublin, OH
National Provider Identifier
1609987031
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35063916 Issued in OH
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000321296OtherOHANTHEM BC BS
311070934OtherOHTAX ID FOR OTHER PLANS
000000321296OtherOHUNICARE
311070934OtherOHTAX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040409000022 OH Practitioner - Emergency MedicinePractitioner - Family Practice 5991798928 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063916OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. CurrentSince Apr 1, 2016 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 PastSince Dec 29, 2008 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.

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

Verify at the official NPI Registry.