EARL MC KENZIE M.D. NPI 1053311910

NPI Information

NPI: 1053311910
Provider Name: EARL MC KENZIE, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1300 MEDICAL DR
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 216-0100
Get Directions

Earl Mc Kenzie, M.D. is a cardiovascular disease internal medicine in Tallahassee, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Earl Mc Kenzie, M.D. NPI is 1053311910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1300 MEDICAL DR
TALLAHASSEE, FL
ZIP 32308-646
Phone: (850) 216-0100

The enumeration date for this NPI number is 7/21/2005 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	012109	GEORGIA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	ME17224	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00000	OTHER	FLORIDA	BCBSFL
2	37193X	MEDICARE ID-TYPE UNSPECIFIED
3	00000	OTHER	FLORIDA	BEECH ST/CAPP CARE
4	00000	OTHER	FLORIDA	UNITED HEALTH CARE
5	00239676A	MEDICAID	GEORGIA
6	00000	OTHER	FLORIDA	HUMANA CHOICE CARE
7	00000	OTHER	FLORIDA	SOUTHCARE
8	00000	OTHER	FLORIDA	UNIVERSAL HEALTH CARE
9	D62372	MEDICARE UPIN

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: 5/5/2024

NPI Synchronization or Removal

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