NPIMap

Organization Active NPI

Elizabeth McKay, MD

  • Dermatology Physician
  • Stuart, FL
National Provider Identifier
1801164454
Registry record updated Dec 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME78235 Issued in FL
Legal business name
ELIZABETH MCKAY, MD
Practice address
969 SE Central Pkwy
Stuart, FL 34994-3904
Phone
(772) 283-0109
Fax
(772) 283-1948
NPI assigned
Dec 11, 2011
Last updated
Dec 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2011

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

Authorized official

Name
Dr. Elizabeth G McKay, M.D.NPI 1891869368
Title
Physician/ Owner
Phone
(772) 283-0109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME78235 FL Primary

Addresses

Primary practice location

969 SE Central Pkwy
Stuart, FL 34994-3904

Mailing address

969 SE Central Pkwy
Stuart, FL 34994-3904
Phone (772) 283-0109

Other names 1

  • McKay Dermatology & MedSpa Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323561600000",
    "number": "1801164454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943904",
            "telephone_number": "772-283-0109",
            "fax_number": "772-283-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943904",
            "telephone_number": "772-283-0109",
            "fax_number": "772-283-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH MCKAY, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-11",
        "last_updated": "2011-12-11",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "772-283-0109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME78235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKay Dermatology & MedSpa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2011; 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.