Individual provider Active NPI

Michael Aaron Maschek, DPM

  • Foot & Ankle Surgery Podiatrist
  • Opp, AL
National Provider Identifier
1982624433
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
351 Issued in AL
Practice address
702 N Main St
Opp, AL 36467-1626
Phone
(334) 493-5704
Fax
(334) 493-9535
NPI assigned
Jul 20, 2006
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 351 AL Primary

Addresses

Primary practice location

702 N Main St
Opp, AL 36467-1626

Mailing address

PO Box 31463
Belfast, ME 04915-0167
Phone (251) 200-3703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328001065 AL Practitioner - Podiatry 9830185891 Reassigns benefits to 1 organization
Practice locations: Daphne, AL; Opp, AL; Gulf Shores, AL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mizell Memorial Hospital, Inc.Group PAC ID 6507820990, 12 clinicians

Practice addresses (Care Compare)

702 N Main St
Opp, AL 36467-1626
Phone 33449335411131

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of nail tissue110
Removal or shaving of skin growth65
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mizell Memorial Hospital, Inc. Current Accepting new patients
Mizell Memorial Hospital, Inc. CurrentSince Feb 28, 2023 Accepting new patients
Mizell Memorial Hospital, Inc. CurrentSince Feb 28, 2023 Accepting new patients
Premier Foot Care, Inc Podiatrist Past Accepting new patients
Vascular Center of Mobile, P.C. Past Accepting new patients
Health Providers of America, LLC Past Accepting new patients
Michael a Maschek Podiatrist PastSince Feb 14, 2012 Accepting new patients
Qofl Services LLC Past Accepting new patients

Locations

702 N Main St
Opp, AL 36467
Phone (334) 493-2342

702 N Main St
Ste 2
Opp, AL 36467
Phone 33449335411131

Interoperability endpoints

  • Direct secure messaging: michael.maschek.1@22680.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1982624433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31463",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150167",
            "telephone_number": "251-200-3703",
            "fax_number": "334-493-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671626",
            "telephone_number": "334-493-5704",
            "fax_number": "334-493-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCHEK",
        "first_name": "MICHAEL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opp, AL

Sources for this page

Verify at the official NPI Registry.