MEDICARE: DR. PAULA S MACKEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	40751	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467453464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAULA S MACKEY MD

Provider Business Mailing Address
First Line	:	2910 CENTRE POINTE DR
Second Line	:	STE 35-121A, CHILDREN'S HEALTH CARE
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-1182
Country	:	US
Telephone Number	:	651-855-2109
Fax Number	:	651-855-2310

Provider Business Practice Location Address
First Line	:	2525 CHICAGO AVE
Second Line	:	CHILDREN'S PRIMARY CLINIC - MPLS
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-4518
Country	:	US
Telephone Number	:	612-813-6107
Fax Number	:	612-813-7473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	08/31/2012

Similar Medicare Providers

1578230496 — OLIVIA RHETT HILL EGAN
Practice Location Address:

2525 CHICAGO AVE
MINNEAPOLIS, MN
55404-4518

Practice Phone: 952-992-5398
Practice Fax:

1720082639 — TIMOTHY JOHN CLUNE C.R.N.A
Practice Location Address:

2525 CHICAGO AVE S
MINNEAPOLIS, MN
55404-4518

Practice Phone: 612-813-8100
Practice Fax:

1083611511 — DR. WILLIAM FRANCIS POMPUTIUS III M.D.
Practice Location Address:

2525 CHICAGO AVE , MAILSTOP 17-318
MINNEAPOLIS, MN
55404-4518

Practice Phone: 612-813-6105
Practice Fax: 612-813-5820

1114926268 — JULIE D KENNEY CPNP
Practice Location Address:

2525 CHICAGO AVE
MINNEAPOLIS, MN
55404-4518

Practice Phone: 612-813-6107
Practice Fax:

1942201942 — SHELDON T BERKOWITZ MD
Practice Location Address:

2525 CHICAGO AVE , CHILDRENS PRIMARY CLINIC MPLS
MINNEAPOLIS, MN
55404-4518

Practice Phone: 612-813-6107
Practice Fax: 612-813-7473

1023019031 — PAUL D MELCHERT MD
Practice Location Address:

2525 CHICAGO AVE
MINNEAPOLIS, MN
55404-4518

Practice Phone: 612-813-6107
Practice Fax: 612-813-7473

Directions to “ DR. PAULA S MACKEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.