Active NPI
Mary Beth Shear, MD
- Family Medicine Physician
- Reedsburg, WI
National Provider Identifier
1154379824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 51006
- Practice address
- 1900 N Dewey Ave
Reedsburg, WI 53959-2214 - Phone
- (608) 524-6477
- Fax
- (608) 524-8305
- NPI assigned
- May 5, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 51006 | WI | Primary |
Addresses
Primary practice location
1900 N Dewey Ave
Reedsburg, WI 53959-2214
Mailing address
1900 N Dewey Avenue
Reedsburg, WI 53959
Phone (608) 524-6477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34965000 | Medicaid | WI | |
| 036067267 | Medicaid | IL |
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 |
|---|---|---|---|
| 51006 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1154379824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N DEWEY AVENUE",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "53959",
"telephone_number": "608-524-6477",
"fax_number": "608-524-8305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N DEWEY AVE",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539592214",
"telephone_number": "608-524-6477",
"fax_number": "608-524-8305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAR",
"first_name": "MARY BETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "51006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34965000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036067267",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reedsburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.