| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHEN MACKERROW | 1225075526 | 2024-11-08 |
Stephen Mackerrow [M] graduated in 1978 and primarily specializes in Interventional Cardiology.
Stephen Mackerrow is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225075526. Registration indicates Stephen Mackerrow is a provider of access to cardiologists services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine: Interventional Cardiology, ) (Specialist Network, ) (Internal Medicine Interventional Cardiology, Allopathic & Osteopathic Physicians) (Internal Medicine, ) Access to Cardiologists (Allopathic & Osteopathic Physicians, Internal Medicine) (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine: Interventional Cardiology, ) (Specialist Network, ) (Internal Medicine Interventional Cardiology, Allopathic & Osteopathic Physicians) (Internal Medicine, )
| PECOS ID | 5698865970 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Stephen Mackerrow M.D. |
| Practice Office Address | 407 S SCHWARTZ AVE STE 202 FARMINGTON, NM US |
| Practice Office Telephone | 5056096770 |
| Practice Office Fax | 5056096775 |
| Mailing Address | PO BOX 844088 DALLAS, TX 752844088 US |
| Business Telephone | 5056092258 |
| Business Fax | 5056092259 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3670 Parker Blvd Suite 101 | Pueblo, CO 810082285 | 7195641544 / 7195652657 |
| 1311 N Mildred Rd | Cortez, CO 813212231 | 9705650712 |
| Southwest Health System - Traveling Phys - Cardiology [CCDA] | [email protected] | Direct |
| Southwest Health System - Traveling Phys - Cardiology [CCDA] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 207RI0011X | Access to Cardiologists Allopathic & Osteopathic Physicians Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Interventional Cardiology Specialist Network Internal Medicine Interventional Cardiology Allopathic & Osteopathic Physicians Internal Medicine | 31635
CO |
| 207RI0011X PRIMARY | Access to Cardiologists Allopathic & Osteopathic Physicians Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Interventional Cardiology Specialist Network Internal Medicine Interventional Cardiology Allopathic & Osteopathic Physicians Internal Medicine | 87-365
NM |
| 01316355 | MEDICAID | CO | |
| P00986966 | OTHER | CO | RAILROAD MEDICA |