NPIMap

Organization Active NPI

Mary-Ann M. Mathias, M.D., S.C.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1043507536
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036119270 Issued in IL
Legal business name
MARY-ANN M. MATHIAS, M.D., S.C.
Practice address
670 W Wayman St
Apt 1203
Chicago, IL 60661-1704
Phone
(773) 988-3151
NPI assigned
Jul 5, 2011
Last updated
Jul 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Authorized official

Name
Mary-Ann Margaret Mathias, M.D.NPI 1851510416
Title
President
Phone
(773) 988-3151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 036119270 IL Primary

Addresses

Primary practice location

670 W Wayman St
Apt 1203
Chicago, IL 60661-1704

Mailing address

670 W Wayman St
Apt 1203
Chicago, IL 60661-1704
Phone (773) 988-3151

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1043507536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 W WAYMAN ST",
            "address_2": "APT 1203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611704",
            "telephone_number": "773-988-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W WAYMAN ST",
            "address_2": "APT 1203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611704",
            "telephone_number": "773-988-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY-ANN M. MATHIAS, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "MARY-ANN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-988-3151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036119270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.