Active NPI
Mary Anne Pope, M.D.
- Child & Adolescent Psychiatry Physician
- Uniontown, PA
National Provider Identifier
1073563144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD-040126-L
- Practice address
- 125 Chaffee St
Uniontown, PA 15401-4605 - Phone
- (724) 434-5437
- Fax
- (724) 437-2761
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD-040126-L | PA | Primary |
Addresses
Primary practice location
125 Chaffee St
Uniontown, PA 15401-4605
Mailing address
100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936
Phone (724) 437-0729
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011061020007 | Medicaid | PA | |
| 510873 | Other | HIGHMARK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-040126-L | PA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1073563144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NEW SALEM RD",
"address_2": "SUITE 116",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154018936",
"telephone_number": "724-437-0729",
"fax_number": "724-437-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CHAFFEE ST",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154014605",
"telephone_number": "724-434-5437",
"fax_number": "724-437-2761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "MARY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD-040126-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011061020007",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "510873",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.