Organization Active NPI

Larry L Mackall MD LLC

  • Anesthesiology Physician
  • Key West, FL
National Provider Identifier
1821254277
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME50055 Issued in FL
Legal business name
LARRY L MACKALL MD LLC
Practice address
605 United St
Suite B
Key West, FL 33040-3229
Phone
(305) 296-0400
Fax
(305) 293-4683
NPI assigned
Aug 5, 2008
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Dr. Larry L. Mackall, M.D.NPI 1528222528
Title
Owner/Manager
Phone
(305) 296-0400

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X ME50055 FL Primary

Addresses

Primary practice location

605 United St
Suite B
Key West, FL 33040-3229

Mailing address

605 United St
Suite B
Key West, FL 33040-3229
Phone (305) 296-0400

National Provider Directory

National Provider Directory

Locations

605 United St
Ste B
Key West, FL 33040
Phone (305) 296-0400

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": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1821254277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 UNITED ST",
            "address_2": "SUITE B",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403229",
            "telephone_number": "305-296-0400",
            "fax_number": "305-293-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 UNITED ST",
            "address_2": "SUITE B",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403229",
            "telephone_number": "305-296-0400",
            "fax_number": "305-293-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY L MACKALL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "MACKALL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "305-296-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME50055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.