Jeffrey D Macke
Pediatric Pulmonologist
705 Riley Hospital Dr Roc 4270
Indianapolis
, Indiana 46202-5109
Jeffrey D Macke
Pediatric Pulmonologist
705 Riley Hospital Dr Roc 4270
Indianapolis
, Indiana 46202-5109
(317) 278-9905
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Jeffrey D Macke
- Po Box 1026
- Indianapolis, IN
- Zip : 46206-1026
- Fax : (317) 278-9905
- Phone : (317) 274-1201
Second Address
- Jeffrey D Macke
- 705 Riley Hospital Dr Roc 4270
- Indianapolis, IN
- Zip : 46202-5109
- Fax : (317) 274-3442
- Phone : (317) 274-7208
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 01038187 | IN |
National Provider Identifier
| NPI | 1174632129 |
|---|---|
| Provider Name | Jeffrey D Macke |
| First Address | Indianapolis, IN 46206-1026 |
| Second Address | Indianapolis, IN 46202-5109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 04/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000354896 | ANTHEM-DEAC-350593390 (01) | |
| 100132000 | (05) | IN |
| 1011442 | (05) | VT |
| 1801844 | (05) | LA |
| 350593390-042 | TRICARE-DEAC-350593390 (01) | |
| 3810016820 | (05) | WV |
| 64879174 | (05) | KY |
| E46666 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.