MCM Accountable Care Organization LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME94252 Issued in FL

Legal business name

MCM ACCOUNTABLE CARE ORGANIZATION LLC

Practice address

600 Heritage Dr
Suite 105
Jupiter, FL 33458-3000

Phone

(561) 932-0995

Fax

(561) 932-0997

NPI assigned

Nov 1, 2012

Organization subpart

No

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

Authorized official

Name

Mazin M Shikara, M.D.NPI 1316967912

Title

President/Physician

Phone

(561) 932-0995

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mazin M Shikara, M.D.

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1316967912
  NPD (past) Authorized official

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1881948677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334680069",
            "telephone_number": "561-932-0995",
            "fax_number": "561-932-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR",
            "address_2": "SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583000",
            "telephone_number": "561-932-0995",
            "fax_number": "561-932-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCM ACCOUNTABLE CARE ORGANIZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "SHIKARA",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "561-932-0995",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME94252",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Christopher McGinnis, PHD
• Stephen Schneider McGraw, PSY.D.
• Katelyn McGuire
• Whitney McKenna, MSPT
• Camisha McLeary
• MCM Physician Services, LLC
• Lindsey Rose McMahon, NP
• Jason Andrew McMicheaux
• Carol K McMorrow, ARNP
• Benjamin McMurtray, D.C.

• Family Medicine Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.