Active NPI
Mary M. Ames-Connor, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Dover, DE
National Provider Identifier
1093781551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- L6-0A00425
- Practice address
- 640 S State St
Dover, DE 19901-3530 - Phone
- (302) 674-4700
- Fax
- (302) 733-0854
- NPI assigned
- Feb 24, 2006
- Last updated
- Nov 11, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | L6-0A00425 | DE | Primary |
| Registered Nurse | 163W00000X | L1-0014709 | DE | |
| Registered Nurse | 163W00000X | 26NR05582900 | NJ | |
| Registered Nurse | 163W00000X | RN334186L | PA |
Addresses
Primary practice location
640 S State St
Dover, DE 19901-3530
Mailing address
PO Box 10925
Wilmington, DE 19850-0925
Phone (888) 733-7271
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47027 | Other | AANA | |
| P00615644 | Other | DE | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0014709 | DE | MD | Registered Nurse |
| 26NR05582900 | NJ | MD | Registered Nurse |
| RN334186L | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Center for Digestive Care LLC | Current | Accepting new patients | |
| Anestahealth, P.a. | Past | Accepting new patients |
Locations
4745 Ogletown Stanton Rd
Ste 134
Newark, DE 19713
537 Stanton Christiana Rd
Ste 203
Newark, DE 19713
Phone (302) 225-2380
71 Omega Dr
#D
Newark, DE 19713
Phone (302) 540-5603
Organizations & group practices 2
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.
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-
- Anesthesiology Physician
- Newark, DE
- NPI 1861419442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384128000000",
"number": "1093781551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10925",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198500925",
"telephone_number": "888-733-7271",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-674-4700",
"fax_number": "302-733-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMES-CONNOR",
"first_name": "MARY",
"middle_name": "M.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2013-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DE",
"license": "L6-0A00425",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0014709",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR05582900",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN334186L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA",
"identifier": "47027",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00615644",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.