Active NPI
Mary Margaret Wollmering, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Branson, MO
National Provider Identifier
1063474484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 2005031309
- Practice address
- 545 Branson Landing Blvd.
Ste. #306
Branson, MO 65616 - Phone
- (417) 336-9728
- Fax
- (417) 337-9710
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 2005031309 | MO | Primary |
Addresses
Primary practice location
545 Branson Landing Blvd.
Ste. #306
Branson, MO 65616
Mailing address
PO Box 770
Branson, MO 65615-0770
Phone (417) 336-9728
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206576 | Other | BCBS | |
| 250766 | Other | HEALTHLINK | |
| P00266172 | Other | RAILROAD MEDICARE |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1063474484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 770",
"city": "BRANSON",
"state": "MO",
"postal_code": "656150770",
"telephone_number": "417-336-9728",
"fax_number": "417-337-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 BRANSON LANDING BLVD.",
"address_2": "STE. #306",
"city": "BRANSON",
"state": "MO",
"postal_code": "65616",
"telephone_number": "417-336-9728",
"fax_number": "417-337-9710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLMERING",
"first_name": "MARY",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MO",
"license": "2005031309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "206576",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "250766",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00266172",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.