Individual provider Active NPI

Elizabeth Wolf Maclean, MD

  • Pediatrics Physician
  • Chapel Hill, NC
National Provider Identifier
1932526134
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
202301016 Issued in NC
Practice address
301 Kildaire Rd Ste 200
Chapel Hill, NC 27516-4064
Phone
(919) 360-0719
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125064631 IL
Student in an Organized Health Care Education/Training Program 390200000X IL
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 202301016 NC Primary

Addresses

Primary practice location

301 Kildaire Rd Ste 200
Chapel Hill, NC 27516-4064

Mailing address

301 Kildaire Rd Ste 200
Chapel Hill, NC 27516-4064
Phone (919) 360-0719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125064631ILMDPediatrics Physician
202301016NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McGaw Medical Center of Northwestern University Past Accepting new patients
Chapel Hill Children & Adolescents' Clinic Single Specialty PastSince Jun 11, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lru7086@yourcarecommunity.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1932526134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KILDAIRE RD STE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164064",
            "telephone_number": "919-360-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KILDAIRE RD STE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164064",
            "telephone_number": "919-360-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAN",
        "first_name": "ELIZABETH",
        "middle_name": "WOLF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125064631",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "202301016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.