Mary C Neal, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

6101A Issued in WY

Practice address

945 W Broadway
Jackson, WY 83001

Phone

(307) 734-5999

Fax

(307) 734-0345

NPI assigned

Dec 27, 2006

Last updated

Sep 26, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mary C Neal, MD PC

  dba Spine Care of Jackson Hole

  • Orthopaedic Surgery of the Spine Physician
  • Jackson, WY
  • NPI 1588729776
  NPD Authorized official
• Orthopaedic Associates Imaging

  • Diagnostic Radiology Physician
  • Jackson, WY
  • NPI 1053539536

  Orthopaedic Surgery of the Spine

  NPD (past) Authorized official
• Orthopaedics of Jackson Hole PC

  dba Teton Orthopaedics

  • Orthopaedic Surgery Physician
  • Jackson, WY
  • NPI 1336221712
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1053476242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7369",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830027369",
            "telephone_number": "307-734-5999",
            "fax_number": "307-734-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W BROADWAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-734-5999",
            "fax_number": "307-734-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WY",
            "license": "6101A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "313180",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Louise Mountcastle, RDN LDN MS
• Mary Ann Mullane, PT
• Jacob Wayne Munger, DPT
• McKenzie Suzanne Myers
• Nathan Tanner PC (Elkridge Dental)
• William C Neal, M.D.
• Mark Matthew Neimat, M.D.
• Marina G Nell, PT
• Jennifer Nelson-Hawks, NATUROPATHIC DOCTOR
• Daniel Anthony Nelson, D.O.

• Orthopaedic Surgery of the Spine Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Orthopaedic Surgery of the Spine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.