Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICAH JAMES ROLAND MACK, DO
ActiveDR. MICAH JAMES ROLAND MACK, DO is a Internal Medicine healthcare provider located in BELLEVUE, Washington. NPI 1447745450 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BELLEVUE, WA
Registration Details
- NPI Number
- 1447745450
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2018 (8.1599373666511 yrs)
- Last Updated
- Nov 16, 2021
- License
-
OP61175176 (WA)
Practice Information
- Address
-
11695 NE 4TH STBELLEVUE, WA, 980045268Browse WA providers · Browse ZIP 98004
- Phone
- 4256371855
- Fax
- 2063447970
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in BELLEVUE, WA
| Name | Credential | NPI |
|---|---|---|
| DR. ALBERT DOMINICK PACIFICO II | M.D. | 1073519328 |
| RENU CHAWLA | MD | 1285634790 |
| JYOTHI K GELLA | MD | 1235124918 |
| FAITH E REEVES | MD | 1922094077 |
| JENNY WAY | MD | 1588632434 |
| JILL ENRIGHT | M.D. | 1740240340 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.