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DR. GREGORY R MACK M.D. NPI 1528169513


NPI Information

NPI: 1528169513
Provider Name: DR. GREGORY R MACK, M.D.
Classification: Surgery - 2086S0105X
Entity Type: Individual

Specialization: Surgery of the Hand

PECOS Registration: Yes

Address:
8008 FROST ST
SUITE 403
SAN DIEGO, CA
ZIP 92123
Phone: (858) 715-9200
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DR. Gregory R Mack, M.D. is a surgery of the hand surgery in San Diego, CA with 53 years of experience. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Gregory R Mack, M.D. NPI is 1528169513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1971

The provider's business location address is:

8008 FROST ST
SUITE 403
SAN DIEGO, CA
ZIP 92123-205
Phone: (858) 715-9200
Fax: (858) 715-1230

The NPI 1528169513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0105XSurgerySurgery of the HandG37547CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W19719OTHERMEDICARE PTAN
2G37547MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIASTATE LICENSE
300G375470MEDICAIDCALIFORNIA
44890140001MEDICARE NSCCALIFORNIA
5A91902MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.