Mary V Mason, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

106125 Issued in MO

Practice address

4950 Childrens PL
Wohl Medicine Clinic 5TH FL
Saint Louis, MO 63110-1000

Phone

(314) 362-3500

Fax

(314) 362-6959

NPI assigned

Mar 2, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Orthopedic & Sports Medicine Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Alton, IL
  • NPI 1982637658
  NPD (past)
• Saint Anthony'S Physician Group

  • Internal Medicine Physician
  • Alton, IL
  • NPI 1750497319
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1093844540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8121",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-3500",
            "fax_number": "314-362-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 CHILDRENS PL",
            "address_2": "WOHL MEDICINE CLINIC 5TH FL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101000",
            "telephone_number": "314-362-3500",
            "fax_number": "314-362-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MARY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "106125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Ridge Surgery Center, LLC
• Craig D Mason
• Daniel Robert Mason, DO
• Deborah Mason
• Jonna Mason, LCSW
• Shontavia Mason, LPC
• Susan Mason, PCNS
• Manar Y Masood, AA
• Muhammad Faraz Masood, MD
• Katherine Mae Massa, MD

• General Practice Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.