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Contact Information

MARK MACEDO, DO
3186 S MARYLAND PKWY
LAS VEGAS, NV89109-2317
 Phone: 517-788-4800
 Fax: 304-766-4391
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARK MACEDO · (Male)

NPI Number 1114286077
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/14/2012
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NV License # DO2182
Hospital affiliation(s)
  • MOUNTAINVIEW HOSPITAL - (Acute Care)
    3100 N TENAYA WAY
    LAS VEGAS, NV 89128
  • SUNRISE HOSPITAL AND MEDICAL CENTER - (Acute Care)
    3186 S MARYLAND PKWY
    LAS VEGAS, NV 89109
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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