Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558309872 Individual Practitioner Female Practitioner

Dr. Joan Minette Mack , MD

General Practice • Darby, PA

Professional Overview & Biography Verified Profile Summary

Dr. Joan Mack, MD is a registered healthcare professional specializing in General Practice in Darby, PA. Practice services are available at 1500 LANSDOWNE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Lansdowne Ave

Darby, PA 190231200

Telephone 6102374814
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Darby, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Darby, PA (434 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PA MD 030223-E

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License PA MD030223E

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0012594240014 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Mary Duppert

Physician Assistant

NPI 1053288555
Dr. Mohsen Khoury , MD

Radiology - Diagnostic Radiology

NPI 1275571531

Doctor of Medicine (M.D.)

Dr. Stanley Chan , MD

Radiology - Diagnostic Radiology

NPI 1295821882

Doctor of Medicine (M.D.)

Dr. Laryssa Hud , MD

Radiology - Diagnostic Radiology

NPI 1346401346

Doctor of Medicine (M.D.)

Dr. Bentley Hollander , MD

Radiology - Diagnostic Radiology

NPI 1366480626

Doctor of Medicine (M.D.)

Dr. Robert Borden , DO

Radiology - Diagnostic Radiology

NPI 1487674180

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2015

Registered at 1500 LANSDOWNE AVE, DARBY, PA 190231200 (Tel: 6102374814)

📍
Updated Business Mailing Address August 28, 2015

Registered at 20 CONSHOHOCKEN STATE RD, APT 406, BALA CYNWYD, PA 190043335

👤
Provider Name / Credentials Updated August 28, 2015

Recorded as JOAN MACK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2015

Radiology (License #MD030223E in PA)

🟢
Initial NPI Registration & Enumeration June 02, 2006

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: 1558309872
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: August 28, 2015
Sole Proprietor: No

Mailing Address

20 Conshohocken State Rd, Apt 406

Bala Cynwyd, PA 190043335

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.