Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ronald A. Mack, DO

Individual provider Pediatrics Physician · NPI 1447211164

Dr. Ronald A. Mack, DO is a Pediatric Medicine in Fort Eustis, Virginia. Qualified in 1997, 29 years ago. Licensed in Pennsylvania.

Years since qualifying
29
Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

576 Jefferson Ave
Fort Eustis, VA 23604-1373
Phone: (757) 314-7727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS010189L (PA)

Record details

NPI number1447211164
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address576 Jefferson Ave, Fort Eustis, VA 23604-1373

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated

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