Active NPIIndividual provider

Philip W Mack, MD

Orthopaedic Surgery in Springfield, Massachusetts

NPI Number1861476798
Practice location
516 Carew St, Springfield, MA 01104-2330
Fax
413-787-2054
Last updated
April 11, 2022

Philip William Mack is an Orthopaedic Surgery based in Springfield, MA. Philip William Mack practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Philip William Mack is 1861476798 and holds a License No. 050085 (CT). The current practice location address for Philip William Mack is 516 Carew St, Springfield, MA 01104-2330 and can be reached out via phone at 413-787-2047 and via fax at 413-787-2054.

Provider Profile Details

NPI Number
1861476798
Provider Name
Philip William Mack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
516 Carew St, Springfield, MA 01104-2330
Phone Number
413-787-2047
Fax Number
413-787-2054
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2005
Last Update Date
April 11, 2022
Certification Date
April 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
516 Carew St
Springfield, MA 01104-2330
Zip
01104-2330
Phone Number
413-787-2047
Fax Number
413-787-2054
Springfield, MA 01104Get directions →

Provider Business Mailing Address Details

Address
516 Carew St
Springfield, MA 01104-2330
City
Springfield
State
MA
Zip
01104-2330
Phone Number
413-787-2047
Fax Number
413-787-2054

License Information

License Number (1)
050085
License State (1)
CT
License Number (2)
208323
License State (2)
MA
Taxonomy (2)
Orthopaedic Surgery · 207X00000X · 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 Philip W Mack, MD?

The NPI number of Philip W Mack, MD is 1861476798. It was assigned on December 5, 2005 and is currently active in the NPPES registry.

What is the specialty of Philip W Mack, MD?

Philip W Mack, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in CT under license number 050085.

Where does Philip W Mack, MD practice?

The practice location is 516 Carew St, Springfield, MA 01104-2330. The office can be reached at 413-787-2047 (phone) or 413-787-2054 (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 1861476798 directly on the NPPES registry website.

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