Mary McAdoo

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4916 Issued in SD

Practice address

Queen City Regional Medical Clinic
1420 N. 10TH Street
Spearfish, SD 57783-1532

Phone

(605) 642-8414

NPI assigned

Feb 10, 2006

Last updated

Aug 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Regional Health Physicians Inc

  dba Hill City Regional Medical Clinic

  • Multi-Specialty Clinic/Center
  • Hill City, SD
  • NPI 1063458263
  NPD (past)
• Regional Health Physicians Inc

  dba Belle Fourche Regional Medical Clinic

  • Multi-Specialty Clinic/Center
  • Belle Fourche, SD
  • NPI 1114196045
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1265405062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 PINE CONE AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577838638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QUEEN CITY REGIONAL MEDICAL CLINIC",
            "address_2": "1420 N. 10TH STREET",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831532",
            "telephone_number": "605-642-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADOO",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "4916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6701480",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jens K Matson, PT. DPT, OCS, CMPT
• Maria Matson, PT, DPT
• Scott R Matthew, CRNA
• Shannon Jean Maxwell, PSY.D, LP
• David George May
• Maryclaire McGreevy
• Robert McIntosh, D.C.
• Ruth M. McLaughlin, M.D.
• Meghan McNary
• Chloe Jane McPhilamy

• Pediatrics Physician in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Pediatrics Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.