Vernon Thomas Mackey, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

3535 Issued in AZ

Practice address

9191 W Thunderbird Rd
D-101
Peoria, AZ 85381-4270

Phone

(623) 977-6700

Fax

(623) 977-6771

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

99.04 of 100Reported as group

Quality

98.09

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tommackey@addermatology.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vernon T Mackey PC

  • Procedural Dermatology Physician
  • Peoria, AZ
  • NPI 1396959417
  Medicare reassignment Authorized official
• Vernon T Mackey, PC

  • Clinical & Laboratory Dermatological Immunology Physician
  • Peoria, AZ
  • NPI 1003204975
  NPD
• Arizona Desert Dermatology and Surgery PC

  • Dermatology Physician
  • Kingman, AZ
  • NPI 1386702546
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1821046772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 W THUNDERBIRD RD",
            "address_2": "D-101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814270",
            "telephone_number": "623-977-6700",
            "fax_number": "623-977-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 W THUNDERBIRD RD",
            "address_2": "D-101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814270",
            "telephone_number": "623-977-6700",
            "fax_number": "623-977-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "VERNON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "3535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mack-Maulupe
• Shawna Mack-Morris, LAC
• Karyn A Mackenzie Fajardo, LCSW, LICSW
• Brandon J Mackey, D.O.
• Christopher G Mackey, DO
• Bradly Andrew Macneil, PHD
• Joan Mactough, P.T.
• Laura D Madden
• Nicole Renee Maddox, DC
• Jacob Maddux, M.D.

• MOHS-Micrographic Surgery Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• MOHS-Micrographic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.