Active NPI
Edward G Mackay MD PA
- Vascular Surgery Physician
- Palm Harbor, FL
National Provider Identifier
1730438730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- EDWARD G MACKAY MD PA
- Practice address
- 2863 Alt 19
Palm Harbor, FL 34683-1926 - Phone
- (727) 781-5652
- Fax
- (727) 781-3792
- NPI assigned
- Sep 5, 2012
- 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
- Edward G Mackay, MD
- Title
- Owner/Officer
- Phone
- (727) 781-5652
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
2863 Alt 19
Palm Harbor, FL 34683-1926
Mailing address
2863 Alt 19
Palm Harbor, FL 34683-1926
Phone (727) 781-5652
National Provider Directory
National Provider DirectoryLocations
2051 West Bay Dr
Largo, FL 33770
Phone (727) 581-8346
2863 Alt 19
Palm Harbor, FL 34683
Phone (727) 781-5652
7601 Dr Martin Luther King Jr St N
Ste C2
St Petersburg, FL 33702
Phone (727) 520-7995
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHJACD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350259200000",
"number": "1730438730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2863 ALT 19",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831926",
"telephone_number": "727-781-5652",
"fax_number": "727-781-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2863 ALT 19",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831926",
"telephone_number": "727-781-5652",
"fax_number": "727-781-3792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD G MACKAY MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-05",
"last_updated": "2012-10-15",
"status": "A",
"authorized_official_last_name": "MACKAY",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER/OFFICER",
"authorized_official_telephone_number": "727-781-5652",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.