Active NPI
Mary E Conti, M.D.
- Radiation Oncology Physician
- Huntington, WV
National Provider Identifier
1255303558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 24166
- Practice address
- 1400 Hal Greer Blvd
Huntington, WV 25701-4114 - Phone
- (304) 399-6501
- Fax
- (304) 399-6528
- NPI assigned
- Feb 2, 2006
- Last updated
- Nov 24, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036050872 | IL | |
| Specialist | 174400000X | R5635 | MO | |
| Specialist | 174400000X | 24166 | WV | |
| Radiation Oncology Physician | 2085R0001X | 24166 | WV | Primary |
Addresses
Primary practice location
1400 Hal Greer Blvd
Huntington, WV 25701-4114
Mailing address
1400 Hal Greer Blvd
Huntington, WV 25701-4114
Phone (304) 399-6501
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203804 | Other | MO | BLUE CROSS/BLUE SHIELD |
| P00128699 | Other | IL | RAILROAD MEDICARE |
| 036050872 | Medicaid | IL | |
| 27934 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 203357447 | Medicaid | MO | |
| 27935 | Other | MO | BLUE CHOICE |
| 920001176 | Other | MO | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sugar Creek Cancer Center L.L.C. | Specialist | Past | Accepting new patients |
| XRT IV, Inc. | Specialist | Past | Accepting new patients |
| XRT 1, Inc | Specialist | Past | Accepting new patients |
| XRT III, Inc | Specialist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- High Ridge, MO
- NPI 1124117841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1255303558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257014114",
"telephone_number": "304-399-6501",
"fax_number": "304-399-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257014114",
"telephone_number": "304-399-6501",
"fax_number": "304-399-6528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTI",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036050872",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "R5635",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "24166",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WV",
"license": "24166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "203804",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00128699",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036050872",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "27934",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203357447",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "27935",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "920001176",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.