Mayo Medical PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MAYO MEDICAL PC

Practice address

141 Groton Ave
Cortland, NY 13045-1907

Phone

(607) 662-0103

Fax

(607) 662-0601

NPI assigned

Oct 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Mayo, M.D.

Title

Ceo

Phone

(607) 662-0103

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1083999015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 GROTON AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451907",
            "telephone_number": "607-662-0103",
            "fax_number": "607-662-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 GROTON AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451907",
            "telephone_number": "607-662-0103",
            "fax_number": "607-662-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-662-0103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03395984",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryanne Mavica
• Ryan Thomas Mavretish, MSOT. OTR/L
• Jenna Maxson, RN
• Laura K May
• Bradley Scott Mayberry, OTR
• Terrance Benn Mays, RN
• Melissa A McCarthy
• Julie McChesney, M.S., CCC-SLP
• Jennifer Weigartz McConnell, PT
• Melinda M McCullough, LCSW-R

• Obstetrics & Gynecology Physician in Cortland, NY
• Providers in Cortland, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.