Mary Rose Wedegaertner, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36851 Issued in NC

Practice address

97 Cornerstone Dr
Cary, NC 27519-8403

Phone

(919) 460-0993

Fax

(919) 481-3952

NPI assigned

Jun 1, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marywedegaertner@cstp.allscriptsdirect.net

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.

• Raleigh Durham Medical Group PA

  dba Cornerstone Pediatric & Adolescent Medicine

  • Pediatrics Physician
  • Cary, NC
  • NPI 1336191972
  NPD
• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1295784874

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1093752693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CORNERSTONE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198403",
            "telephone_number": "919-460-0993",
            "fax_number": "919-482-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CORNERSTONE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198403",
            "telephone_number": "919-460-0993",
            "fax_number": "919-481-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDEGAERTNER",
        "first_name": "MARY",
        "middle_name": "ROSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "36851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8986293",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86293",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana Webb, RBT
• Jack Weber, D.C.
• Lauren Weber, OTR/L
• Abbygail Webster
• Madison Webster
• Julia Nichole Weedon, LCSW
• Todd Martin Wegerski, D.C.
• Gisela Weimer, MA, LPC
• Kerin Weingarten
• Juliana Marie Weiss, WHNP-BC

• Pediatrics Physician in Cary, NC
• Providers in Cary, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.