Medical Management of Macon, Inc.
Organization Active NPI Skilled Nursing Facility · Macon, MO
NPI 1962437517 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1962437517
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 031177 (MO)
- Legal business name
- MEDICAL MANAGEMENT OF MACON, INC.
- Practice address
- 29612 Kellogg Ave
Macon, MO 63552-3702 - Phone
- (660) 385-5797
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Stuart Yachnowitz
- Title
- President
- Phone
- (516) 371-4000
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 031177 | MO | Yes |
Addresses
Primary practice location
29612 Kellogg Ave
Macon, MO 63552-3702
Mailing address
29612 Kellogg Ave
Macon, MO 63552-3702
Phone (660) 385-5797
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30164 | Other | MO | BC BS |
Other providers in Macon, MO
- Lisa Michelle Mayes
- Shaylyn McCollough
- James W McDowell
- McPherson Medical & Diagnostic LLC
- McPherson Medical & Diagnostic, LLC
- Beth Mettes
- Mid Missouri Physical Therapy
- Midwest Bone & Joint Center PC
- Midwest Orthopedic Surgical Services LLC
- Midwest Surgical Specialties PC
All providers in Macon, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.