Mackenzie Mayer, DVM

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9296-VT-VT Issued in MA

Practice address

1415 Main St
Tewksbury, MA 01876-2041

Phone

(978) 851-5558

NPI assigned

Jun 24, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shawsheen Animal Hospital

  • Veterinarian
  • Tewksbury, MA
  • NPI 1891166187
  NPD (past)

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1841922333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762041",
            "telephone_number": "978-851-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "9296-VT-VT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Joseph Mardirossian, ATC
• Charles Margosian, RPH
• Thomas Phillip Martin, PH.D.
• Mark Victor Mastone, ATC
• Gillian Matos
• Rahimetou Mbouombouo, NP
• Julie McCarthy, DPT
• Melissa McCormack, RD, LDN
• Mark A McGee, O.D.
• Bette L McInnis-Ippolito, PHD

• General Practice Physician in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.