DR. GARY MACKMAN


Address: 1130 E Missouri Ave, Ste 100, Phoenix, AZ 85014-2718
Phone: 6029951166

DR. GARY MACKMAN (NPI# 1326044108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326044108
Entity Type Individual
Full Name DR. GARY MACKMAN
Other Name GARY MACKMAN
Credential MD
Practice Address 1130 E Missouri Ave
Ste 100
Phoenix
AZ 85014-2718
Practice Telephone 6029951166
Practice Fax Number 6029952390
Mailing Telephone 6029951166
Mailing Fax Number 6029952390
Enumeration Date 2005-06-25
Last Update Date 2012-10-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 12411 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ TAX ID 860220938 01

Office Location

Street Address 1130 E MISSOURI AVE
STE 100
City PHOENIX
State AZ
Zip Code 85014-2718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114439718 Phoenix Health Psychology, Pllc Psychologist 1130 E Missouri Ave, Phoenix, AZ 85014-2718 2017-11-04
1801291158 Karen Wind Counselor 1130 E Missouri Ave, Suite 780, Phoenix, AZ 85014-2718 2014-10-29
1285038547 Andrea K Kurelowech Chiropractor 1130 E Missouri Ave, Ste 180, Phoenix, AZ 85014-2736 2014-10-15
1417380874 Psychotherapy Innovations, Plc Counselor 1130 E Missouri Ave, Suite 780, Phoenix, AZ 85014-2718 2013-08-20
1881977676 Noelle Lynne Landay Social Worker 1130 E Missouri Ave, Suite 550, Phoenix, AZ 85014-2718 2011-09-28
1902106404 Timothy Sapp Md Pllc Psychiatry & Neurology 1130 E Missouri Ave, Suite 206, Phoenix, AZ 85014-2718 2010-10-30
1609011386 Anne Christine Hicks Naturopath 1130 E Missouri Ave, Suite 720, Phoenix, AZ 85014-2718 2008-12-09
1316191661 Nicole Lorraine Balles Counselor 1130 E Missouri Ave, Suite 780, Phoenix, AZ 85014-2718 2008-11-13
1194992776 Soloman Chiropractic, LLC Chiropractor 1130 E Missouri Ave, Ste 402, Phoenix, AZ 85014-2718 2008-05-13
1760653695 Douglas Andrew Malm Counselor 1130 E Missouri Ave, Suite 780, Phoenix, AZ 85014-2718 2008-03-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831796549 Sherri Ann Rhodes Registered Nurse 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 2020-10-06
1235746249 Kaitlyn Landess Occupational Therapist 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 2020-09-24
1467088062 Generational Bridges Neuropsychological Services Pllc Clinical Neuropsychologist 1515 E Missouri Dr, Phoenix, AZ 85014 2020-03-16
1861022881 Daza Astrid Hernandez Speech-Language Pathologist 5314 N 7th Street, Phoeniz, AZ 85014 2020-01-17
1396213542 Arizona Youth & Family Services Inc. Community/Behavioral Health 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 2018-11-06
1366815508 Dehp LLC Case Management 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 2015-11-10
1659751972 Carla Parola Counselor 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 2015-06-02
1659763597 Dale Carroll Davis Dentist 3132 N. 7th St, Phoenix, AZ 85014 2015-03-02
1407247091 Cynthia Ruzich Psychologist 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 2015-02-18
1144618315 Emily M Bentz Specialist/Technologist 3514 N. 7th St, Phoenix, AZ 85014 2014-12-22
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962881698 Nishi Madhusudan Shah Ophthalmology 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032-2151 2015-05-27
1477984862 James Chipman Wootton Ophthalmology 6202 N 22nd St, Phoenix, AZ 85016-2003 2013-12-10
1518233592 Debora Elena Garcia-zalisnak Ophthalmology 8410 W Thomas Rd Ste 146, Phoenix, AZ 85037-3374 2012-03-23
1750677415 Matthew Heller Ophthalmology 515 W Buckeye Road, Suite 104, Phoenix, AZ 85003-3699 2011-06-21
1629224795 Ronald S Garlikov Ophthalmology 13225 N 14th St, Phoenix, AZ 85022-4918 2008-08-08
1952570194 Misha Faustina, M.d. PC Ophthalmology 1010emcdowellrd, #406, Phoenix, AZ 85006-2610 2008-02-21
1497971535 Robert E Fintelmann Ophthalmology 4400 N 32nd St Ste 280, Phoenix, AZ 85018-3978 2007-04-17
1013065770 Madhavi Kurli Ophthalmology 19820 N 7th St, Suite 120, Phoenix, AZ 85024-1689 2007-01-08
1457410623 Abc Children's Eye Specialists PC Ophthalmology 1010 E Mcdowell Rd Ste 301, Phoenix, AZ 85006 2006-12-06
1851496848 Graham Barth Kretchman Ophthalmology 1010 E Mcdowell, Suite 406, Phoenix, AZ 85006 2006-09-14
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Competitor

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City PHOENIX
Zip Code 85014

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Dataset Information

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.

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