Provider Demographics
NPI:1467560391
Name:MCKAY, MARTHA KING (MD)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:KING
Last Name:MCKAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 HENDERSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2868
Mailing Address - Country:US
Mailing Address - Phone:828-257-4730
Mailing Address - Fax:
Practice Address - Street 1:123 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-257-4730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39031207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1467560391Medicaid
NC3400011OtherMEDICAID OSCAR
NC0081POtherBCBS SWINGBED
NC014MXOtherBLUE CROSS LABS
NC235013OtherMEDICARE PHYSICIAN
NC00513OtherBLUE CROSS
NC34U011OtherMEDICARE SWINGBED
07673OtherBLUE CROSS PHYSICIAN
NC411013849OtherRAILRAOD MEDICARE
NC235013BOtherMEDICARE PHYSICIAN
NC56968OtherBCBS INDIVIDUAL PROVIDER
NC1467560391Medicaid
NC340011Medicare Oscar/Certification
NC34U011OtherMEDICARE SWINGBED