NPIMap

Individual provider Active NPI

William Henry Macklin, M.D., FACS

  • Specialist
  • Alexandria, LA
National Provider Identifier
1972690584
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15241R Issued in LA
Practice address
3311 Prescott Rd
Suite 105
Alexandria, LA 71301-3900
Phone
(318) 484-2667
Fax
(318) 484-2696
NPI assigned
Oct 6, 2006
Last updated
Dec 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15241R LA Primary
Emergency Medicine Physician 207P00000X 40871 AZ

Addresses

Primary practice location

3311 Prescott Rd
Suite 105
Alexandria, LA 71301-3900

Mailing address

3311 Prescott Rd
Suite 105
Alexandria, LA 71301-3900
Phone (318) 484-2667

Other identifiers 1

IdentifierTypeStateIssuer
1165247MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090305000207 AZ Practitioner - Emergency Medicine 6709774953 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceptional Physicians Group Bullhead City Hospital PLLCGroup PAC ID 9335599604, 11 clinicians

Practice addresses (Care Compare)

2365 Hwy 95
Bullhead City, AZ 86442-6084
Phone (469) 341-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15241RLAMDSpecialist
40871AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Regional Hospital Inc Current Accepting new patients
Nes Arizona Inc Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Nes Arizona Inc Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Feb 28, 2024 Accepting new patients
Sunset Emergency Physicians LLC Emergency Medicine CurrentSince Oct 19, 2013 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
Louisiana Em-1 Medical Services, PC Past Accepting new patients
Emergency Medicine Physicians of Mohave County, PLLC Emergency Medicine Past Accepting new patients
Nes Louisiana Inc Emergency Medicine PastSince Jul 10, 2022 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients
C H Wilkinson Physician Network Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Pinal County, PLLC Emergency Medicine Past Accepting new patients
Hualapai Emergency Physician Partners PLLC Emergency Medicine Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-1287

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

7300 State Highway 121
Ste 374
McKinney, TX 75070

Interoperability endpoints

  • Direct secure messaging: williammacklin@lprh.medalliesdirect.net
  • Direct secure messaging: wmacklin@yourcarecommunity.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1972690584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD",
            "address_2": "SUITE 105",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013900",
            "telephone_number": "318-484-2667",
            "fax_number": "318-484-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD",
            "address_2": "SUITE 105",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013900",
            "telephone_number": "318-484-2667",
            "fax_number": "318-484-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLIN",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "credential": "M.D., FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "15241R",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "40871",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1165247",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.