Active NPI
James S Mackin, MD
- Anesthesiology Physician
- Rock Springs, WY
National Provider Identifier
1841284635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 162010-1205
- Practice address
- 2761 Commercial Way
Rock Springs, WY 82901-4753 - Phone
- (307) 382-6873
- Fax
- (307) 382-6869
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 162010-1205 | UT | Primary |
Addresses
Primary practice location
2761 Commercial Way
Rock Springs, WY 82901-4753
Mailing address
1954 Ft Union Blvd
107
Salt Lake City, UT 84121-6800
Phone (801) 993-9527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05840 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162010-1205 | UT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millcreek Anesthesia PC | Anesthesiology | Past | Accepting new patients |
| Lifetree Medical Inc | Anesthesiology | Past | Accepting new patients |
| Omega Interventional Pain PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Salt Lake City, UT
- NPI 1306879820
-
- Pain Medicine Physician
- Salt Lake City, UT
- NPI 1417253907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1841284635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 FT UNION BLVD",
"address_2": "107",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216800",
"telephone_number": "801-993-9527",
"fax_number": "801-733-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2761 COMMERCIAL WAY",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829014753",
"telephone_number": "307-382-6873",
"fax_number": "307-382-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKIN",
"first_name": "JAMES",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "162010-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05840",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.