Organization Active NPI

Burgoon, Mackay & Schuler, P.C.

  • Procedural Dermatology Physician
  • Malvern, PA
National Provider Identifier
1720184229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
BURGOON, MACKAY & SCHULER, P.C.
Practice address
266 Lancaster Ave
Suite 304
Malvern, PA 19355-3256
Phone
(610) 647-4161
Fax
(610) 647-5397
NPI assigned
Sep 15, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Donna J Mackay, M.D., PH.D.
Title
President
Phone
(610) 647-4161

National Provider Directory

National Provider Directory

Locations

266 Lancaster Ave
Ste 304
Malvern, PA 19355
Phone (610) 647-3923

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

NPPES NPI Registry

Primary practice location

266 Lancaster Ave
Suite 304
Malvern, PA 19355-3256

Mailing address

266 Lancaster Ave
Suite 304
Malvern, PA 19355-3256
Phone (610) 647-4161

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
98940OtherPABLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720184229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "address_2": "SUITE 304",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-647-4161",
            "fax_number": "610-647-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "address_2": "SUITE 304",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-647-4161",
            "fax_number": "610-647-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGOON, MACKAY & SCHULER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-647-4161",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "98940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.