MS. CAROL JEAN MACK (NPI# 1235207366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235207366 |
| Entity Type | Individual |
| Full Name | MS. CAROL JEAN MACK |
| Credential | P.A.-C |
| Practice Address |
1850 M St Nw Suite 450 Washington DC 20036-5803 |
| Mailing Address |
1106 Norris Ct Sw Leesburg VA 20175-4361 |
| Practice Telephone | 2022931000 |
| Mailing Telephone | 7036699343 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA30161 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | STATE LICENSE | PA30161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861929689 | Carol Mack | Counselor | 1530 N Country Club Dr Ste 19, Mesa, AZ 85201-2560 | 2017-05-11 |
| 1780971978 | Carol Annette Mack | Specialist | 725 Princess Ave, N Las Vegas, NV 89030-3822 | 2011-07-07 |
| 1063714566 | Carol Mack | Counselor | 454 N. Claude A. Lord Blvd., Pottsville, PA 17901-2706 | 2010-12-03 |
| 1053527846 | Carol Marie Mack | Prevention Professional | 3835 Claridge Oval, University Heights, OH 44118-4739 | 2007-05-16 |
| 1063412120 | Carol Bellomo Mack | Social Worker | Pcs, Inc., 1 Greystone Rd, Carlisle, PA 17013 | 2005-07-29 |
| 1023294774 | Carol Mack | Social Worker | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2008-01-11 |
| 1356566293 | Carol Jo Mack | Counselor | 8631 Delmar Blvd, Saint Louis, MO 63124-1990 | 2007-04-16 |
| Street Address |
1850 M ST NW SUITE 450 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20036-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336180736 | Louis E Levitt, Md & Marc B Danziger, Md | Specialist | 1850 M St Nw, Suite #750, Washington, DC 20036-5803 | 2006-06-09 |
| 1407229867 | Rachael Medler Pitsch | Physical Therapist | 1850 M St Nw, Suite 750, Washington, DC 20036-5803 | 2015-11-07 |
| 1922478767 | Laforie Gaitan | Physical Therapist | 1850 M St Nw, Washington, DC 20036-5803 | 2015-10-06 |
| 1356639991 | Sonya Sen | Physical Therapist | 1850 M St Nw, Suite 750, Washington, DC 20036-5803 | 2011-07-18 |
| 1548405376 | Noah Matthew Raizman | Orthopaedic Surgery | 1850 M St Nw, Suite 750, Washington, DC 20036-5803 | 2008-12-08 |
| 1306004858 | Benjamin Eric Stein | Orthopaedic Surgery | 1850 M St Nw, Suite 750, Washington, DC 20036-5803 | 2008-05-30 |
| 1487831988 | Office of Orthopaedic Medicine and Surgery PC | Orthopaedic Surgery | 1850 M St Nw, 750, Washington, DC 20036-5803 | 2008-01-28 |
| 1437332111 | Carlyn Anne Bale | Physical Therapist | 1850 M St Nw, Suite 750, Washington, DC 20036-5803 | 2007-12-17 |
| 1700947256 | James Alan Simon | Obstetrics & Gynecology | 1850 M St Nw, Suite 450, Washington, DC 20036-5803 | 2006-12-12 |
| 1922169408 | James A Simon, Md, PC | Obstetrics & Gynecology | 1850 M St Nw, Suite 450, Washington, DC 20036-5803 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266995 | Martha Johnson | Social Worker | 1555 Connective Ave Nw, #500w, Washington, DC 20036 | 2020-08-18 |
| 1629691092 | City Dental Dc- 2055 L, Pllc | Dentist | 2075 L Street, Nw, Washington, DC 20036 | 2020-05-20 |
| 1790305506 | Healing Roots Counseling, LLC | Counselor | 1555 Connecticut Ave, Nw Suite 401, Washington, DC 20036 | 2020-04-22 |
| 1396391124 | New Touch Digital Inc. | Durable Medical Equipment & Medical Supplies | 2055 L Street W, Suite 400, Washington, DC 20036 | 2019-08-16 |
| 1770054371 | Olivia Renee Searle | Physical Therapist | 1145 19th Street Nw Suite 413, Washington, DC 20036 | 2018-12-09 |
| 1366920050 | Savonna Clecia Robinson | Home Health Aide | Capital Home Health Care, 1820 Jefferson Street, Washington, DC 20036 | 2018-08-03 |
| 1619480829 | Meredith Harris | Physical Therapist | 1120 20th St Nw Ste 116, Washington, DC 20036 | 2017-11-09 |
| 1225540503 | Tsigereda Getachew Nigussie | Registered Nurse | 1707 L St Nw Suit 900, Washington, DC 20036 | 2017-10-26 |
| 1033629928 | Bolanle Christie Koyejo | Home Health Aide | 1820 Jefferson Place Nw, Washington, DC 20036 | 2017-10-05 |
| 1679082648 | Fethia Bekeri | Home Health Aide | 1820 Jefferson Pl, Nw, Washington, DC 20036 | 2017-09-21 |
| Find all providers in zip 20036 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1609487370 | Rachel Alexis Solomon | Physician Assistant | 1920 L St Nw Ste 350, Washington, DC 20036-5004 | 2020-08-14 |
| 1740805175 | Alexandra Fraser | Physician Assistant | 1125 11th St Nw Apt 204, Washington, DC 20001-6420 | 2020-06-11 |
| 1699399162 | Enrique Manriquez | Physician Assistant | 2413 39th Pl Nw, Washington, DC 20007-1702 | 2020-06-01 |
| 1710510565 | Peter Bourland | Physician Assistant | 130 M St Ne Apt 1113, Washington, DC 20002-7925 | 2020-02-20 |
| 1619517950 | Jaclyn Finley | Physician Assistant | 57103 Curtis St, Washington, MI 48094-3844 | 2020-01-15 |
| 1033770755 | Lauren Taylor Parrish | Physician Assistant | 3800 Reservoir Rd Nw # 2phc, Washington, DC 20007-2113 | 2019-06-24 |
| 1821654617 | Connor James Butz | Physician Assistant | 2311 M St Nw Ste 401, Washington, DC 20037-1495 | 2019-05-16 |
| 1164087482 | Lisa Chuong | Physician Assistant | 110 Irving St Nw # 3b19, Washington, DC 20010-3017 | 2019-05-02 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20036 |
Please comment or provide details below to improve the information on MS. CAROL JEAN MACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.