NPI Code Detail JSON Logo

1588287049 NPI number — KEIR FYTE MACKAY MD

NPI Number: 1588287049
Health Care Provider/Practitioner: KEIR FYTE MACKAY MD

Information about “1588287049” NPI (KEIR FYTE MACKAY MD) exists in 1588287049 in HTML format HTML  |  1588287049 in plain Text format TXT  |  1588287049 in PDF (Portable Document Format) PDF  |  1588287049 in an XML format XML  formats.

NPI Number : 1588287049 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588287049",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MACKAY",
    "FirstName": "KEIR",
    "MiddleName": "FYTE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "200 1ST ST SW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCHESTER",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55905-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "507-284-2511",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "200 1ST ST SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCHESTER",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55905-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "507-284-2511",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/19/2020",
    "LastUpdateDate": "06/15/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "72104",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": "11021368A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.