Provider Demographics
NPI:1407834393
Name:MACKEL, DAVID FREDERICK
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FREDERICK
Last Name:MACKEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N JUSTICE ST # 16
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3410
Mailing Address - Country:US
Mailing Address - Phone:828-694-8385
Mailing Address - Fax:828-694-7654
Practice Address - Street 1:1027 FLEMING ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791
Practice Address - Country:US
Practice Address - Phone:828-692-5781
Practice Address - Fax:828-696-8606
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26562207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
53674OtherBCBS NC
611186890OtherCOMPCARE/KEYRISK
P00179896OtherRR MEDICARE
NC208421EMedicaid
611186890OtherBEECHSTREET
611186890OtherCRESENT
611186890OtherFOCUS
D8417OtherMEDCOST
611186890OtherHEALTHCARE SAVINGS
2021341OtherCIGNA HEALTHCARE
611186890OtherTRICARE/HUMANA
611186890OtherCORVEL
611186890OtherFIRST HEALTH
611186890OtherCCN
611186890OtherUNITED HEALTHCARE
C85273Medicare UPIN
611186890OtherHEALTHCARE SAVINGS