Individual provider Active NPI

Mary Caroline Fieber, MD

  • Cytopathology Physician
  • Enid, OK
National Provider Identifier
1043299258
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
G62349 Issued in CA
Practice address
2609 N. Van Buren
Enid, OK 73703-1713
Phone
(580) 237-0171
Fax
(580) 237-0412
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 24212 OK
Cytopathology Physician 207ZC0500X 24212 OK
Cytopathology Physician 207ZC0500X G62349 CA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G62349 CA

Addresses

Primary practice location

2609 N. Van Buren
Enid, OK 73703-1713

Mailing address

2609 N. Van Buren
Enid, OK 73703-1713
Phone (580) 237-0171

Other identifiers 2

IdentifierTypeStateIssuer
200050450AMedicaidOK
LAB44024FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Diagnostic Pathology Services, Inc. Past Accepting new patients
Northwest Missouri Pathologists, M.D., P.C. Cytopathology Past Accepting new patients
Yosemite Pathology Medical Group, Inc Cytopathology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1043299258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 N. VAN BUREN",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031713",
            "telephone_number": "580-237-0171",
            "fax_number": "580-237-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 N. VAN BUREN",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031713",
            "telephone_number": "580-237-0171",
            "fax_number": "580-237-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEBER",
        "first_name": "MARY",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "24212",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "OK",
            "license": "24212",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "G62349",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G62349",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200050450A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB44024F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.