Individual provider Active NPI

Mary Ann C. Contogiannis, M.D.

  • Plastic Surgery Physician
  • Greensboro, NC
National Provider Identifier
1164549911
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
33014 Issued in NC
Practice address
211 State St
Greensboro, NC 27408-2151
Phone
(336) 333-9022
Fax
(336) 333-9024
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 33014 NC Primary

Addresses

Primary practice location

211 State St
Greensboro, NC 27408-2151

Mailing address

211 State St
Greensboro, NC 27408-2151
Phone (336) 333-9022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 10, 2024 through Apr 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33014NCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emcare Physician Providers, Inc. Past Accepting new patients
Vance Emergency Physicians Past Accepting new patients
Office Based Anesthesiology Associates PLLC PastSince Mar 15, 2016 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164549911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 STATE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082151",
            "telephone_number": "336-333-9022",
            "fax_number": "336-333-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 STATE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082151",
            "telephone_number": "336-333-9022",
            "fax_number": "336-333-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTOGIANNIS",
        "first_name": "MARY ANN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "33014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.