Mary McDonald MD SC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

28027020 Issued in WI

Legal business name

MARY MCDONALD MD SC

Practice address

2700 W 9TH Ave
Suite 300
Oshkosh, WI 54904-7247

Phone

(920) 223-0490

NPI assigned

Jul 28, 2006

Last updated

Oct 10, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather Lenz

Title

Office Manager

Phone

(920) 426-2211

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew John Regent-Smith, MD

  • Plastic Surgery Physician
  • Neenah, WI
  • NPI 1669978144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1043224041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 JACKSON ST",
            "address_2": "SUITE E",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549018144",
            "telephone_number": "920-426-2211",
            "fax_number": "920-426-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE",
            "address_2": "SUITE 300",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047247",
            "telephone_number": "920-223-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MCDONALD MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-426-2211"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "28027020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21299800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vera V Martonito, MD
• David V Maruska, MD
• Julie A Marx, APNP
• Robin L Marx, RN
• John Claus Marxen, LPC
• Michael John Maslowski, DDS
• Linda Mathys
• Olivia McKeever Matwiejczyk
• Hayden Matz, OD
• Diamond Matzke, PTA

• Gastroenterology Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Gastroenterology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.