GLEN MACKENZIE MD PC
NPI 1467806067
Obstetrics & Gynecology - Gynecology in Manchester Center, VT

Active since April 20, 2016
1009 DEPOT ST, MANCHESTER CENTER, VT 05255(802) 442-8649(802) 442-8658 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glen Mackenzie Md Pc NPPES

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

GLEN MACKENZIE MD PC (NPI 1467806067) is a healthcare organization registered as a gynecology in Manchester Center, Vermont and active in the NPI registry since April 2016. The organization lists Glen Carlisle Mackenzie, President, as its authorized official.

NPPES Registry Identity

NPI1467806067
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameGLEN MACKENZIE MD PC
Location Address1009 DEPOT STManchester Center, VT 05255-9731
Mailing Address1009 Depot StManchester Center, VT 05255-9731 · (802) 442-8649 · Fax (802) 442-8658
Fax(802) 442-8658
Organization SubpartNo
Authorized OfficialGlen Carlisle MackenziePresident · (802) 442-8649
Enumeration DateApril 20, 2016
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 17, 2022
NPI 1467806067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in VT · 420009174
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1009 DEPOT ST, Manchester Center, VT 05255

Other Identifiers 1

MedicaidOVN1210VT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Pharmacy (Community/Retail Pharmacy)
1009 DEPOT ST
MANCHESTER CENTER, VT 05255
Obstetrics & Gynecology (Gynecology)
1009 DEPOT ST
MANCHESTER CENTER, VT 05255
Pediatrics
1009 DEPOT ST
MANCHESTER CENTER, VT 05255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Mackenzie MD PC's NPI number?

The NPI number for Glen Mackenzie MD PC is 1467806067. It was assigned to this organization in the NPPES registry on April 20, 2016.

Where is Glen Mackenzie MD PC located?

Glen Mackenzie MD PC is located at 1009 Depot St, Manchester Center, VT 05255. The listed phone number is (802) 442-8649.

What is Glen Mackenzie MD PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

What insurance does Glen Mackenzie MD PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Glen Mackenzie MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glen Mackenzie MD PC was last updated on June 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.