Aimar P Mack, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD 28556 Issued in SC

Practice address

2376 Cypress Circle
Suite 202
Conway, SC 29526-8994

Phone

(843) 234-9700

Fax

(843) 234-6896

NPI assigned

Aug 25, 2005

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1891788782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2180",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295282180",
            "telephone_number": "843-234-9700",
            "fax_number": "843-234-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIRCLE",
            "address_2": "SUITE 202",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268994",
            "telephone_number": "843-234-9700",
            "fax_number": "843-234-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "AIMAR",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "MD 28556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4505",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137Y6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285569",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "7844",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kutura B Lynch
• Lyons Prosthetics & Orthotics, Inc.
• Alexander L Lyons, CPO
• M&M Mitchell Inc.
• Molly Ann Mabry, PA-C
• Alan Roger Mackenzie, PHYSICAL THERAPIST
• Adrian Madrid, DO
• Siobhan Maerz, LMSW
• Michael F. Magill
• Magnolia Pediatrics

• Endocrinology, Diabetes & Metabolism Physician in Conway, SC
• Providers in Conway, SC by specialty
• Endocrinology, Diabetes & Metabolism Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.