Active NPIOrganization

Glen Mackenzie MD PC

Obstetrics & Gynecology, Gynecology in Manchester Center, Vermont

NPI Number1467806067
Practice location
1009 Depot St, Manchester Center, VT 05255-9731
Fax
802-442-8658
Last updated
June 17, 2022

Glen Mackenzie MD PC is a healthcare organization based in Manchester Center, VT. Glen Mackenzie MD PC practices in Manchester Center, VT. The NPI Number for Glen Mackenzie MD PC is 1467806067 and holds a License No. 420009174 (VT). The current practice location address for Glen Mackenzie MD PC is 1009 Depot St, Manchester Center, VT 05255-9731 and can be reached out via phone at 802-442-8649 and via fax at 802-442-8658.

Provider Profile Details

NPI Number
1467806067
Provider Name
Glen Mackenzie MD PC
Provider Entity Type
Organization
Address
1009 Depot St, Manchester Center, VT 05255-9731
Phone Number
802-442-8649
Fax Number
802-442-8658
Primary Taxonomy
Obstetrics & Gynecology, Gynecology · 207VG0400X
Organization Subpart
No
Authorized Official
Dr. Glen Carlisle Mackenzie, MD · President · 802-442-8649
Provider Enumeration Date
April 20, 2016
Last Update Date
June 17, 2022
Certification Date
June 17, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1009 Depot St
Manchester Center, VT 05255-9731
State
Vermont
Zip
05255-9731
Phone Number
802-442-8649
Fax Number
802-442-8658
Manchester Center, VT 05255Get directions →

Provider Business Mailing Address Details

Address
1009 Depot St
Manchester Center, VT 05255-9731
City
Manchester Center
State
VT
Zip
05255-9731
Phone Number
802-442-8649
Fax Number
802-442-8658

License Information

License Number
420009174
License State
VT
Taxonomy
Obstetrics & Gynecology, Gynecology · 207VG0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Glen Mackenzie MD PC?

The NPI number of Glen Mackenzie MD PC is 1467806067. It was assigned on April 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Glen Mackenzie MD PC?

Glen Mackenzie MD PC is registered under the primary taxonomy Obstetrics & Gynecology, Gynecology (code 207VG0400X), licensed in VT under license number 420009174.

Where does Glen Mackenzie MD PC practice?

The practice location is 1009 Depot St, Manchester Center, VT 05255-9731. The office can be reached at 802-442-8649 (phone) or 802-442-8658 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467806067 directly on the NPPES registry website.

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