Basic Information
| Provider Information | |||||||||
| NPI: | 1407834393 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MACKEL | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | FREDERICK | ||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 N JUSTICE ST # 16 | ||||||||
| Address2: | |||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287913410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286948385 | ||||||||
| FaxNumber: | 8286947654 | ||||||||
| Practice Location | |||||||||
| Address1: | 1027 FLEMING ST | ||||||||
| Address2: | |||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28791 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286925781 | ||||||||
| FaxNumber: | 8286968606 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2006 | ||||||||
| LastUpdateDate: | 08/20/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 26562 | NC | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 53674 | 01 | BCBS NC | OTHER | 611186890 | 01 | COMPCARE/KEYRISK | OTHER | P00179896 | 01 | RR MEDICARE | OTHER | 208421E | 05 | NC | MEDICAID | 611186890 | 01 | BEECHSTREET | OTHER | 611186890 | 01 | CRESENT | OTHER | 611186890 | 01 | FOCUS | OTHER | D8417 | 01 | MEDCOST | OTHER | 611186890 | 01 | HEALTHCARE SAVINGS | OTHER | 2021341 | 01 | CIGNA HEALTHCARE | OTHER | 611186890 | 01 | TRICARE/HUMANA | OTHER | 611186890 | 01 | CORVEL | OTHER | 611186890 | 01 | FIRST HEALTH | OTHER | 611186890 | 01 | CCN | OTHER | 611186890 | 01 | UNITED HEALTHCARE | OTHER |