NPIMap

Individual provider Active NPI

Mary Poag, MD

  • Gynecology Physician
  • Webster, TX
National Provider Identifier
1275595969
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
K5668 Issued in TX
Practice address
17 Professional Park Dr
Webster, TX 77598-4123
Phone
(281) 332-9511
NPI assigned
Apr 6, 2006
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X K5668 TX Primary

Addresses

Primary practice location

17 Professional Park Dr
Webster, TX 77598-4123

Mailing address

17 Professional Park Dr
Webster, TX 77598-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000325 TX Practitioner - Obstetrics/Gynecology 7517937089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Obstetrics and Gynecology,PAGroup PAC ID 8022068246, 4 clinicians

Practice addresses (Care Compare)

17 Professional Park Dr
Webster, TX 77598-4123
Phone 2813329511150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Obstetrics and Gynecology,PA CurrentSince Aug 16, 2001 Accepting new patients

Locations

17 Professional Park Dr
Webster, TX 77598
Phone (281) 332-9511

Interoperability endpoints

  • Direct secure messaging: mary.poag.1@25583.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1275595969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984123",
            "telephone_number": "281-332-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAG",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "K5668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.