SEAN MACKEY DO
NPI 1174272223
Student in an Organized Health Care Education/Training Program in Goodyear, AZ

Q: What is Sean Mackey's NPI number?

The NPI number for Sean Mackey is 1174272223. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Sean Mackey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Mackey was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2022PECOS Enrolled

13677 W MCDOWELL RD, GOODYEAR, AZ 85395(623) 882-1500 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Sean Mackey Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN MACKEY DO (NPI 1174272223) is an individual student in an organized health care education/training program in Goodyear, Arizona and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174272223

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSEAN MACKEYCredential: DO

Location Address13677 W MCDOWELL RDGoodyear, AZ 85395-2635

Mailing Address6901 E Chauncey Ln Apt 3026Phoenix, AZ 85054-5136 · (925) 683-1543

Phone(623) 882-1500

Sole ProprietorYes

Enumeration DateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1174272223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

13677 W MCDOWELL RD, Goodyear, AZ 85395

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Mackey Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOSPITAL DEVELOPMENT OF WEST PHOENIX INC

Internal Medicine (Cardiovascular Disease)