Mark M McKenzie, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35982 Issued in TN

Practice address

6031 Shallowford Rd
Suite 105
Chattanooga, TN 37421-1983

Phone

(423) 468-3923

Fax

(423) 468-3927

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• DX Mso, PLLC

  dba Doctors Express

  • Urgent Care Clinic/Center
  • Chattanooga, TN
  • NPI 1225381148
  Medicare reassignment NPD
• Brookside Medical Center PLLC

  • Family Medicine Physician
  • Collegedale, TN
  • NPI 1083637078
  NPD (past)
• Cleveland Medical Clinic Inc

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1457350951

  Internal Medicine

  NPD (past)
• Galen Medical Group, PC

  • Internal Medicine Physician
  • Hixson, TN
  • NPI 1346250057
  NPD (past)
• Northwest Ohio Emergency Services, Inc.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1407992902
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1821064122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 SHALLOWFORD RD",
            "address_2": "SUITE 105",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211983",
            "telephone_number": "423-468-3923",
            "fax_number": "423-468-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 SHALLOWFORD RD",
            "address_2": "SUITE 105",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211983",
            "telephone_number": "423-468-3923",
            "fax_number": "423-468-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MARK",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "35982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4158363",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4178417",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38720281",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas McKee, PT, DPT
• Kendrik McKeel, TEMPORARY LPC
• Sally M McKellar, MD
• Brittney McKenney, CCC-SLP
• McKenzie Center for Internal Medicine, PLLC
• Mary Lawley McKenzie, DO
• Sarah Ann McKenzie
• Linda McKillop, RN, BSN
• Amanda McKinney
• Bonnie McKinney, LMFT

• Internal Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.