DAVID A. MACK (NPI# 1396966818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396966818 |
Entity Type | Individual |
Full Name | DAVID A. MACK |
Credential | M.D. |
Practice Address |
4th Hospital Dr Charlottesville VA 22908-0001 |
Mailing Address |
500 Ray C Hunt Dr Charlottesville VA 22903-2981 |
Practice Telephone | 4349249333 |
Practice Fax Number | 4342436086 |
Mailing Telephone | 4349806140 |
Mailing Fax Number | 4349724266 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101237476 | VA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487927547 | David B Mack | Speech-Language Pathologist | 15055 W 87th St Parkway, Lenexa, KS 66215 | 2012-02-20 |
1457480741 | David P Mack | Dentist | 27855 Plymouth Rd, Livonia, MI 48150-2322 | 2007-03-05 |
1811041056 | David R Mack | Psychiatry & Neurology | 505 W Northern Lights Blvd, Anchorage, AK 99503-2552 | 2007-01-23 |
1346316700 | David Charles Mack | Social Worker | 7214 E Camino Vecino, Tucson, AZ 85715-3416 | 2006-11-28 |
1205944923 | David Ray Mack | Dentist | 11536 S 31st St, Bellevue, NE 68123-5529 | 2006-08-25 |
1679555908 | David A Mack | Obstetrics & Gynecology | 1810 East 19th St, Suite 209, The Dalles, OR 97058 | 2005-11-14 |
1952865354 | David Mack | Case Manager/Care Coordinator | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-01-30 |
1023512340 | David Wentworth Mack | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2018-03-21 |
1497271621 | David Mack | Licensed Vocational Nurse | 1045 9th Ave, San Diego, CA 92101-5504 | 2017-08-18 |
1588059984 | David Mack | Emergency Medicine | 100 N Academy Ave, Danville, PA 17822-9800 | 2015-04-02 |
Street Address |
4TH HOSPITAL DR |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22908-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962522607 | Linda A. Gonder-frederick | Psychologist | 4th Hospital Dr, Charlottesville, VA 22908-0001 | 2007-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
Find all providers in zip 22908 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366860496 | Krista Isaac | Internal Medicine | 1215 Lee St - Box Number 800716, Charlottesville, VA 22908-0001 | 2014-04-05 |
1841330008 | Michael E. Williams | Internal Medicine | Uva Emily Couric Clinical Cancer Ctr, 1240 Lee Street, Charlottesville, VA 22908-0001 | 2007-02-07 |
1679590608 | Aarti Ailawadi | Internal Medicine | Uva Hospital W, Hospital Drive, 4th Floor, Charlottesville, VA 22908-0001 | 2006-07-16 |
1053397745 | Hematology Oncology Patient Enterprises P C | Internal Medicine | 459 Locust Ave, Charlottesville, VA 22902-4808 | 2005-12-15 |
1083699961 | Stefan Michael Gorsch | Internal Medicine | 590 Peter Jefferson Place, Suite 175, Charlottesville, VA 22911-0001 | 2005-12-13 |
1073518452 | Mikhail Vinogradov | Internal Medicine | 2204 Hyland Ridge Dr, Charlottesville, VA 22911-3645 | 2005-06-14 |
1063701852 | Louise M Man | Internal Medicine | 1240 Lee St, Charlottesville, VA 22908-0817 | 2011-04-01 |
1093036113 | Andrew Michael Romano | Internal Medicine | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2010-06-14 |
1427218205 | Craig Anthony Portell | Internal Medicine | 1240 Lee St, Charlottesville, VA 22908-0817 | 2008-06-14 |
1952502718 | Patrick M Dillon | Internal Medicine | 1240 Lee St, Charlottesville, VA 22908-0817 | 2007-05-30 |
Find all providers in CHARLOTTESVILLE |
City | CHARLOTTESVILLE |
Zip Code | 22908 |
Please comment or provide details below to improve the information on DAVID A. 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.