Mary B. Ames, MD
Individual provider Active NPI Maternal & Fetal Medicine Physician · Kenosha, WI
NPI 1215989751 · NPPES record last updated Nov 19, 2021
Key facts
- NPI
- 1215989751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Maternal & Fetal Medicine Physician 207VM0101X
- License
- 40835 (WI)
- Practice address
- 10400 75TH St
Kenosha, WI 53142-7884 - Phone
- (262) 948-6790
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40835 | WI | MD | Maternal & Fetal Medicine Physician |
| 153589 | OR | MD | Obstetrics Physician |
Interoperability endpoints
- mames259023@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 40835 | WI | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 153589 | OR | |
| Obstetrics Physician | 207VX0000X | 153589 | OR | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 40835 | WI | Yes |
Addresses
Primary practice location
10400 75TH St
Kenosha, WI 53142-7884
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 389-2377
Other practice location 1
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32579900 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mames259023@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Kenosha, WI
- Jennifer Amble
- Tamara Ambre
- American Current Care P.a.
- American Eagle Pleasant Prairie LLC
- Angella L Ames
- Amtul R Ahmad MD SC
- An Inspired Care LLC
- Ancient Healing Acupuncture and Herbs LLC
- Stacey L Andersen
- Rochelle Anderson-Moore
All providers in Kenosha, WI · Maternal & Fetal Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.