Keith A Mackenzie DO PC
NPI 1396971958ActiveOrganization· Dermatology, Procedural Dermatology· Prescott, AZ
Dermatology, Procedural Dermatology in Prescott, Arizona, registered in NPPES in June 2009. The authorized official on file is Jamie Quinn, Credentialing/Billing Supervisor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396971958 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2009 |
| Last updated in NPPES | Oct 18, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Procedural Dermatology Primary | 207NS0135X | 3225 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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