Richard B Mackey (NPI# 1992923874, PAC ID# 9234285339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1992923874 |
| PAC ID by PECOS | 9234285339 |
| Professional Enrollment ID | I20090915000182 |
| Full Name | Richard B Mackey |
| Organization Legal Name | MOUNTAINSTAR SPECIALTY SERVICES LLC |
| Address |
74 E Kimballs Ln Suite 330 Draper UT 84020-5006 |
| Phone Number | 8015685972 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4688767551 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460060 | LONE PEAK HOSPITAL |
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| 460058 | RIVERTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006 | 8015685972 | MOUNTAINSTAR SPECIALTY SERVICES LLC |
| 74 E Kimballs Ln, Suite 300, Draper, UT 84020-5009 | 8015685972 | MOUNTAINSTAR SPECIALTY SERVICES LLC |
| 3584 W 9000, Suite 405, West Jordan, UT 84088-5712 | 8015683480 | PHYSICIAN GROUP OF UTAH INC |
| 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366 | 8015691999 | MOUNTAINSTAR SPECIALTY SERVICES LLC |
| Organization Legal Name | MOUNTAINSTAR SPECIALTY SERVICES LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael H Bourne | Orthopedic Surgery | Mountainstar Specialty Services LLC | 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366 |
| Angelo G Chachas | General Surgery | Mountainstar Specialty Services LLC | 1250 E 3900 S, Suite 460, Salt Lake City, UT 84124-1349 |
| Scott E Bruderer | Physician Assistant | Mountainstar Specialty Services LLC | 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006 |
| Traske M Muir | Orthopedic Surgery | Mountainstar Specialty Services LLC | 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006 |
| Stuart C Marshall Jr. | Orthopedic Surgery | Mountainstar Specialty Services LLC | 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006 |
| Robert B Bourne | Internal Medicine | Mountainstar Specialty Services LLC | 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366 |
| Charles L Beck Jr. | Orthopedic Surgery | Mountainstar Specialty Services LLC | 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006 |
| E Marc Mariani | Orthopedic Surgery | Mountainstar Specialty Services LLC | 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366 |
| Spencer H Amundsen | Orthopedic Surgery | Mountainstar Specialty Services LLC | 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006 |
| David G Tranter | Physician Assistant | Mountainstar Specialty Services LLC | 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006 |
| Street Address |
74 E KIMBALLS LN SUITE 330 |
| City | DRAPER |
| State | UT |
| Zip | 84020-5006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James S Zebrack | Cardiovascular Disease (cardiology) | Mountainstar Cardiology St Marks LLC | 74 E Kimballs Ln, Suite 260, Draper, UT 84020-5009 |
| Scott E Bruderer | Physician Assistant | Mountainstar Specialty Services LLC | 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006 |
| Philip Leonard Roberts | Internal Medicine | Mountainstar Medical Group-st. Marks Hospital LLC | 74 E Kimballs Ln, Suite 300, Draper, UT 84020-5009 |
| Kenneth G Nielson | Cardiovascular Disease (cardiology) | Mountainstar Cardiology St Marks LLC | 74 E Kimballs Ln, Suite 260, Draper, UT 84020-5009 |
| Larry E Urry | Dermatology | 74 E Kimballs Ln, Suite 230, Draper, UT 84020-5005 | |
| Daniel Trevor Young | Family Medicine | Mountainstar Medical Group-st. Marks Hospital LLC | 74 E Kimballs Ln, Suite 300, Draper, UT 84020-5009 |
| Traske M Muir | Orthopedic Surgery | Mountainstar Specialty Services LLC | 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006 |
| David B Jack | Family Medicine | Mountainstar Medical Group-st. Marks Hospital LLC | 74 E Kimballs Ln, Draper, UT 84020-5009 |
| Vamsee M Yaganti | Interventional Cardiology | Mountainstar Cardiology St Marks LLC | 74 E Kimballs Ln, Suite 260, Draper, UT 84020-5009 |
| Andrew Charles Behunin | Internal Medicine | Mountainstar Cardiology St Marks LLC | 74 E Kimballs Ln, Suite 260, Draper, UT 84020-5009 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Christensen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Matthew Broadwater-hollifield | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Azher M Merchant | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jeffrey L Hardin | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Laurie C Raborn | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jinghui Li | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Charles David Eller | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jeremy Voros | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jennifer F Robison | Psychologist, Clinical | 12481 S Fort St, Suite 275, Draper, UT 84020-2106 | |
| Matthew D Smith | Chiropractic | Elite Performance Health Center PC | 13552 S 110 W, Suite 204, Draper, UT 84020-2403 |
| Find all physicians in zip 84020 | |||
| City | DRAPER |
| Zip Code | 84020 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | DRAPER + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Richard B Mackey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.