Medical Management of Macon, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031177 Issued in 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

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

Stuart Yachnowitz

Title

President

Phone

(516) 371-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962437517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29612 KELLOGG AVE",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635523702",
            "telephone_number": "660-385-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29612 KELLOGG AVE",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635523702",
            "telephone_number": "660-385-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT OF MACON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YACHNOWITZ",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-371-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Mayes, D.O.
• Shaylyn McCollough, PHARMD
• James W McDowell, MD
• McPherson Medical & Diagnostic LLC (American Medical Missouri)
• McPherson Medical & Diagnostic, LLC
• Beth Mettes, FNP-BC
• Mid Missouri Physical Therapy
• Midwest Bone & Joint Center PC
• Midwest Orthopedic Surgical Services LLC
• Midwest Surgical Specialties PC

• Skilled Nursing Facility in Macon, MO
• Providers in Macon, MO by specialty
• Skilled Nursing Facility in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.