Active NPI
Burgoon, Mackay & Schuler, P.C.
- Procedural Dermatology Physician
- Malvern, PA
National Provider Identifier
1720184229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- 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 DirectoryLocations
266 Lancaster Ave
Ste 304
Malvern, PA 19355
Phone (610) 647-3923
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98940 | Other | PA | BLUE 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.