Dr. Mac's Pediatrics and Allergy, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J5109 Issued in TX

Legal business name

DR. MAC'S PEDIATRICS AND ALLERGY, P.A.

Practice address

652 E Sandy Lake Rd
Coppell, TX 75019-3019

Phone

(972) 304-9240

Fax

(972) 745-3382

NPI assigned

Apr 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George McAnelly II, M.D.NPI 1417047721

Title

President

Phone

(972) 304-9240

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George McAnelly II, M.D.

  • Pediatrics Physician
  • Coppell, TX
  • NPI 1417047721
  NPD (past) Authorized official
• Julie Ann Taylor, MD

  • Pediatrics Physician
  • Coppell, TX
  • NPI 1235318981
  NPD (past)
• Patricia Oliver

  • Pediatrics Physician
  • Toppenish, WA
  • NPI 1932286267
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932325743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193019",
            "telephone_number": "972-304-9240",
            "fax_number": "972-745-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193019",
            "telephone_number": "972-304-9240",
            "fax_number": "972-745-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MAC'S PEDIATRICS AND ALLERGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCANELLY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-304-9240",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J5109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Docculi Medical Group PLLC
• Daniel James Dodge, D.C.
• Travis Doom, PT, DPT
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• Amber Downs
• Dr. Murphy Medical Care P.a. (Modoma)
• Asia Draper, BCBA
• Shanna Drury, MS, LPC INTERN
• Lauren Elisabeth Dudas
• William Paul Dunham, ATC, LAT

• Pediatrics Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.