David A Mackoul, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME67400 Issued in FL

Practice address

206 SE 16TH PL
Cape Coral, FL 33990

Phone

(239) 573-2001

Fax

(239) 573-2006

NPI assigned

Oct 19, 2005

Last updated

Nov 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: david.mackoul.1@13514.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13514/brand/1/csg/1/fhir/r4

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.

• David a Mackoul, M.D., P.a.

  dba MacKoul Pediatrics

  • Pediatrics Physician
  • Cape Coral, FL
  • NPI 1659389948
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1871582056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33990",
            "telephone_number": "239-573-2001",
            "fax_number": "239-573-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33990",
            "telephone_number": "239-573-2001",
            "fax_number": "239-573-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKOUL",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME67400",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME67400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258711400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258711402",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377086900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eimy Macias Garcia
• Monica Macias
• Victor Orosco Macias, M.D.
• Elizabeth Lauren Mackenzie, APRN
• Christine M Mackie, M.D.
• Mary S Mackoul
• Bambi Lynn Macpherson, LCSW-C
• Madmac, Inc (Miracle Ear)
• Madmac, Inc. (Miracle-Ear)
• Elian Madrazo Sr.

• Pediatrics Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.