Heather A Mackay, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD28829 Issued in OR

Practice address

875 Oak St SE Ste 5030
Salem, OR 97301-3991

Phone

(503) 814-3571

Fax

(503) 814-3577

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather A. Mackay-Gimino Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1720192479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13129",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973091129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 5030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013991",
            "telephone_number": "503-814-3571",
            "fax_number": "503-814-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD28829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MACKAY-GIMINO",
            "middle_name": "A.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vanessa Alejandra Maciel, RDH
• Jessica Erin Macisaac, L.M.T.
• Ashley Jessica Mack
• Kelly Jene Mack, BS, CADCI
• Launa Carina Mack, DENTAL ASSISTANT
• Chelsea Mackey
• Marissa Mackey, LMFT
• Kippy Macklin
• Karen J Macleod, COTA
• Molly Macmorris-Adix, CNM

• Obstetrics & Gynecology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.