Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376217141 Individual Practitioner Male Practitioner

Mackinley Spencer Burrell , CP

Prosthetist • Anthem, AZ

Professional Overview & Biography Verified Profile Summary

Mackinley Burrell, CP is a registered healthcare professional specializing in Prosthetist in Anthem, AZ. Practice services are available at 42212 N 41ST DR STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

42212 N 41st Dr Ste 105

Anthem, AZ 850863815

Telephone 6233524520
Fax 8336802415
Associated Practice Facility / Clinic
🏢 Roadrunner Prosthetics Inc. Facility NPI 1285330696

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Anthem, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Anthem, AZ (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-26
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License CA CP004467

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 26, 2023

Registered at 42212 N 41ST DR STE 105, ANTHEM, AZ 850863815 (Tel: 6233524520)

📍
Updated Business Mailing Address September 26, 2023

Registered at 42212 N 41ST DR STE 105, ANTHEM, AZ 850863815 (Tel: 6233524520)

NPI Profile Active August 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2021

Registered at 1801 PARK COURT PL BLDG B, SANTA ANA, CA 927015002 (Tel: 9498925338)

📍
Updated Business Mailing Address August 05, 2021

Registered at 1801 PARK COURT PL BLDG B, SANTA ANA, CA 927015002 (Tel: 9498925338)

👤
Provider Name / Credentials Updated August 05, 2021

Recorded as MACKINLEY BURRELL, CP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2021

Prosthetist (License #CP004467 in CA)

🟢
Initial NPI Registration & Enumeration August 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376217141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2021
Last Update: September 26, 2023
Sole Proprietor: Yes

Mailing Address

42212 N 41st Dr Ste 105

Anthem, AZ 850863815

Phone: 6233524520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.