MR. PAUL D MACK (NPI# 1497723506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497723506 |
| Entity Type | Individual |
| Full Name | MR. PAUL D MACK |
| Credential | PA-C |
| Practice Address |
300 S Jackson St Suite 100 Denver CO 80209-3176 |
| Mailing Address |
8378 E Jamison Cir Centennial CO 80112-2752 |
| Practice Telephone | 3033210222 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2009-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689798886 | Paul A Mack | Chiropractor | 636 Nw Richmond Beach Rd, Shoreline, WA 98177-3122 | 2007-03-16 |
| 1780740563 | Paul Jeffrey Mack | Specialist | 1015 Mccausland Ave, Saint Louis, MO 63117-1924 | 2006-12-28 |
| 1164030904 | Paul Mack | Behavior Technician | 1820 Armstrong Blvd, Kissimmee, FL 34741-2589 | 2020-07-17 |
| Street Address |
300 S JACKSON ST SUITE 100 |
| City | DENVER |
| State | CO |
| Zip Code | 80209-3176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429478 | Jay Reinsma | Family Medicine | 300 S Jackson St, Suite 340, Denver, CO 80209-3176 | 2005-06-30 |
| 1891158952 | Podiatry Associates, PC | Podiatrist | 300 S Jackson St, #310, Denver, CO 80209-3176 | 2016-04-05 |
| 1871952010 | Portercare Adventist Health System | Internal Medicine | 300 S Jackson St, Suite 320, Denver, CO 80209-3176 | 2016-02-16 |
| 1124491212 | Derek Steven Miller | Physician Assistant | 300 S Jackson St, Suite 100, Denver, CO 80209-3176 | 2015-11-11 |
| 1790176352 | Dr John Glazer, LLC | Clinic/Center | 300 S Jackson St, Suite 520, Denver, CO 80209-3176 | 2015-02-18 |
| 1063759785 | Chelsea Towler Campbell | Psychologist | 300 S Jackson St, Denver, CO 80209-3176 | 2013-01-15 |
| 1740542075 | Allison Russell | Physician Assistant | 300 S Jackson St, Suite 100, Denver, CO 80209-3176 | 2012-06-12 |
| 1184980641 | John Chapin Glazer | Psychologist | 300 S Jackson St, Suite 520, Denver, CO 80209-3176 | 2012-04-09 |
| 1114207529 | The Catalyst Center, LLC | Psychologist | 300 S Jackson St, Suite 520, Denver, CO 80209-3176 | 2011-08-17 |
| 1780964197 | Erin Jacklin | Counselor | 300 S Jackson St, Suite 520, Denver, CO 80209-3176 | 2011-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841817400 | Wesley Stanton | Dentist | 3773 Cherry Creek Drive N, Denver, CO 80209 | 2020-06-30 |
| 1619452489 | Open and Affordable Dental Cherry Creek Pllc | Dentist | 3773 Cherry Creek Dr, Unit 120, Denver, CO 80209 | 2018-09-27 |
| 1952894842 | Anna Rose Schwartz | Dietitian, Registered | 155 S. Madison St. Suite 328, Denver, CO 80209 | 2018-06-14 |
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1912442542 | Neil David Wright | Counselor | 121 S Madison St Ste C, Denver, CO 80209 | 2017-01-05 |
| 1336681287 | Brianne Wiese | Counselor | 359 E Bayaud Ave # 106, Denver, CO 80209 | 2016-11-09 |
| 1275910671 | Sarah Ashley Robbins | Family Medicine | 360 S Garfield St Ste 500, Denver, CO 80209 | 2015-05-05 |
| 1871992404 | Egert-kreider Dental | Dentist | 3955 E. Expostition Ave, Suite 312, Denver, CO 80209 | 2014-08-20 |
| 1811309164 | Aurora G. Burluc D.d.s, PC | Dentist | 3773 Cherry Creek Dr. North, #120, Denver, CO 80209 | 2014-05-21 |
| 1770995110 | Elizabeth Gateley | Counselor | 50 S Steele St Ste 435, Denver, CO 80209 | 2014-05-20 |
| Find all providers in zip 80209 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677240 | Monique Minter | Physician Assistant | 5504 Malta St, Denver, CO 80249-8649 | 2020-10-23 |
| 1861901878 | Stephanie J Dyck IIi | Physician Assistant | 3800 North York St, Denver, CO 80205-3540 | 2017-09-21 |
| 1588115059 | Joshua Dollins Pasley | Physician Assistant | 955 Lawrence St, Plaza Building, Suite 150, Denver, CO 80217 | 2016-10-20 |
| 1730558172 | Hannah Mcnally | Physician Assistant | 1719 E 19th Ave # 300, Denver, CO 80218-1235 | 2015-09-16 |
| 1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
| 1811331812 | Josephine Frances Dennison | Physician Assistant | 3333 Regis Blvd F-12, Denver, CO 80221-1099 | 2013-04-20 |
| 1184967234 | Ryan Christopher Merson | Physician Assistant | 1960 North Ogden Street, Suite 110, Denver, CO 80218-3667 | 2013-03-27 |
| 1255675187 | Staci Lynn Palmore | Physician Assistant | 2000 S. Colorado Blvd, Tower 1 Suite 4500, Denver, CO 80222 | 2012-11-15 |
| 1518211051 | Jordan Michael Mast | Physician Assistant | 950 East Harvard Ave Ste 570, Denver, CO 80210-7003 | 2012-11-06 |
| 1578852463 | Susan Franta | Physician Assistant | 810 Krameria St, Denver, CO 80220-4615 | 2011-03-31 |
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| 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.