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NPI Code Detail

MEDICARE: DR. MICHAEL ALAN MACKAY M.D.

MEDICARE:  DR. MICHAEL ALAN MACKAY  M.D.
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
1207X00000XOrthopaedic Surgery PhysicianMD29247TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200029631OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31469814OTHERTNUNITED HEALTH CARE
4100010540OTHERTNTENNCARE
55415575OTHERTNAETNA
6TN0159OTHERTNJOHN DEERE HEALTHCARE
7TN0189OTHERTNJOHN DEERE HEALTHCARE
83071424OTHERTNBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1710955315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALAN MACKAY M.D.
Provider Business Mailing Address
First Line : 8320 E WALKER SPRINGS LN STE 200
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-3120
Country : US
Telephone Number : 865-769-4500
Fax Number : 865-769-4501
Provider Business Practice Location Address
First Line : 90 VERMONT AVE STE 300
Second Line :
City : OAK RIDGE
State : TN
Zip : 37830-6478
Country : US
Telephone Number : 865-481-2541
Fax Number : 865-483-8151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 01/15/2026

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