Active NPI
Paul Mackell MD PC
- Family Medicine Physician
- Lafayette, CO
National Provider Identifier
1639358518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25320
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01253202 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Louisville, CO
- NPI 1154388148
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.