Organization Active NPI

Paul Mackell MD PC

  • Family Medicine Physician
  • Lafayette, CO
National Provider Identifier
1639358518
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25320 Issued in CO
Legal business name
PAUL MACKELL MD PC
Practice address
588 US Highway 287 Ste 204
Lafayette, CO 80026-2615
Phone
(303) 666-4606
Fax
(303) 666-4610
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Paul Mackell, MD
Title
President
Phone
(303) 666-4606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25320 CO Primary

Addresses

Primary practice location

588 US Highway 287 Ste 204
Lafayette, CO 80026-2615

Mailing address

588 US Highway 287 Ste 204
Lafayette, CO 80026-2615
Phone (303) 666-4606

Other identifiers 1

IdentifierTypeStateIssuer
01253202MedicaidCO

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
#128
Denver, CO 80231

3464 S Willow St
Ste 128
Denver, CO 80231

588 N US Highway 287
Ste 204
Lafayette, CO 80026
Phone (303) 443-2771

401 E Cleveland St
Ste B
Lafayette, CO 80026
Phone (303) 665-2525

400 E Simpson St
Ste 101
Lafayette, CO 80026
Phone (720) 352-1782

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1639358518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 US HIGHWAY 287 STE 204",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262615",
            "telephone_number": "303-666-4606",
            "fax_number": "303-666-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 US HIGHWAY 287 STE 204",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262615",
            "telephone_number": "303-666-4606",
            "fax_number": "303-666-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MACKELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "MACKELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-666-4606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "25320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01253202",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.