Active NPIIndividual provider

Russell T Mack, MD

Anesthesiology in Damariscotta, Maine

NPI Number1538154281
Practice location
35 Miles St, Damariscotta, ME 04543-4047
Fax
207-563-4884
Last updated
November 20, 2015

Russell T Mack is an Anesthesiology based in Damariscotta, ME. Russell T Mack practices in Damariscotta, ME and has the professional credentials of MD. The NPI Number for Russell T Mack is 1538154281 and holds a License No. MD10261 (ME). The current practice location address for Russell T Mack is 35 Miles St, Damariscotta, ME 04543-4047 and can be reached out via phone at 207-563-4329 and via fax at 207-563-4884.

Provider Profile Details

NPI Number
1538154281
Provider Name
Russell T Mack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
35 Miles St, Damariscotta, ME 04543-4047
Phone Number
207-563-4329
Fax Number
207-563-4884
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2005
Last Update Date
November 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Miles St
Damariscotta, ME 04543-4047
State
Maine
Zip
04543-4047
Phone Number
207-563-4329
Fax Number
207-563-4884
Damariscotta, ME 04543Get directions →

Provider Business Mailing Address Details

Address
324 Gannett Dr Ste 200
South Portland, ME 04106-3266
City
South Portland
State
ME
Zip
04106-3266
Phone Number
207-482-7800

License Information

License Number
MD10261
License State
ME
Taxonomy
Anesthesiology · 207L00000X · 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 Russell T Mack, MD?

The NPI number of Russell T Mack, MD is 1538154281. It was assigned on September 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Russell T Mack, MD?

Russell T Mack, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in ME under license number MD10261.

Where does Russell T Mack, MD practice?

The practice location is 35 Miles St, Damariscotta, ME 04543-4047. The office can be reached at 207-563-4329 (phone) or 207-563-4884 (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 1538154281 directly on the NPPES registry website.

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