Individual provider Active NPI

Mary Zhang, MD

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1144797101
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E15246 Issued in AR
Practice address
200 Southampton Drive
Ste 102
Columbia, MO 65203
Phone
(573) 814-1170
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E15246 AR
Family Medicine Physician 207Q00000X 2018026685 MO
Family Medicine Physician 207Q00000X E15246 AR Primary

Addresses

Primary practice location

200 Southampton Drive
Ste 102
Columbia, MO 65203

Mailing address

200 Southampton Drive
Ste 102
Columbia, MO 65203
Phone (573) 814-1170

Other identifiers 1

IdentifierTypeStateIssuer
2018026685OtherMOSTATE OF MISSOURI ASSISTANT PHYSICIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713003495 AR Practitioner - Family Practice 3971984584 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shiloh Emergency Group PLLCGroup PAC ID 6901228154, 59 clinicians
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

4 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 977-2300

451 W Locke St
Little River Mem Hosp
Ashdown, AR 71822-3325
Phone (870) 898-5011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E15246ARMDFamily Medicine Physician
2018026685MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Staffing Solutions Region III Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Aug 1, 2022 Accepting new patients
HCC of Magnolia LLC CurrentSince Aug 1, 2022 Accepting new patients
Monticello Ess LLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Ess of El Dorado, LLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Ess of McGehee LLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Shiloh Emergency Group PLLC Emergency Medicine CurrentSince Apr 4, 2023 Accepting new patients
Ess Hospitalist LLC CurrentSince Aug 1, 2022 Accepting new patients
HCC of Warren Hospitalist LLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Aug 15, 2022 Accepting new patients
Southeast Arkansas Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Sevier County Medical Center CurrentSince Jul 13, 2024 Accepting new patients
Sevier County Medical Center CurrentSince Jul 13, 2024 Accepting new patients
Southeast Arkansas Emergency Physicians LLP Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
HCC of El Dorado LLC CurrentSince Aug 1, 2022 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
HCC of Warren LLC CurrentSince Aug 1, 2022 Accepting new patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Sevier County Medical Center Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

900 S 3rd St
McGehee, AR 71654
Phone (855) 498-6768

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • Direct secure messaging: mary.zhang.1@14285.direct.athenahealth.com
  • Direct secure messaging: mzhang@yourcarecommunity.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1144797101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTHAMPTON DRIVE",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-814-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTHAMPTON DRIVE",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-814-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E15246",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018026685",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E15246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI  ASSISTANT PHYSICIAN",
            "identifier": "2018026685",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.