Active NPI
Maryann Buker Wilbur, MD
- Obstetrics & Gynecology Physician
- Rochester, NY
National Provider Identifier
1114218989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 307289
- Practice address
- 125 Lattimore Rd Ste 258
Rochester, NY 14620-4155 - Phone
- (585) 442-8020
- Fax
- (585) 442-8039
- NPI assigned
- Apr 27, 2011
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 307289 | NY | Primary |
Addresses
Primary practice location
125 Lattimore Rd Ste 258
Rochester, NY 14620-4155
Mailing address
601 Elmwood Ave Box 668
Rochester, NY 14642-0001
Phone (585) 442-8020
Other practice location 1
600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-6710
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 |
|---|---|---|---|
| 307289 | NY | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- mwilbur216667@direct.urmc.rochester.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1114218989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 668",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-442-8020",
"fax_number": "585-442-8039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 LATTIMORE RD STE 258",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204155",
"telephone_number": "585-442-8020",
"fax_number": "585-442-8039"
}
],
"practiceLocations": [
{
"address_1": "600 N Wolfe St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870005",
"country_code": "US",
"telephone_number": "410-955-6710",
"fax_number": "410-502-6683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILBUR",
"first_name": "MARYANN",
"middle_name": "BUKER",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "307289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.