Active NPI
Mary Jo Katherine Hull, M.D.
- Cardiovascular Disease Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- M2779
- Practice address
- 4330 Medical Dr Ste 500
San Antonio, TX 78229-3318 - Phone
- (210) 558-0122
- Fax
- (210) 558-0120
- NPI assigned
- Dec 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35351 | WI | |
| Cardiovascular Disease Physician | 207RC0000X | M2779 | TX | Primary |
Addresses
Primary practice location
4330 Medical Dr Ste 500
San Antonio, TX 78229-3318
Mailing address
4330 Medical Dr Ste 500
San Antonio, TX 78229-3318
Phone (210) 558-0122
Other names 1
- Dr. Mary Jo Katherine Rohrer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8715 Village Dr
San Antonio, TX 78217-5407
Phone (210) 558-0122
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35351 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Networks, Inc. | Cardiovascular Disease | Current | Accepting new patients |
Locations
4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
8715 Village Dr
Ste 400
San Antonio, TX 78217
Phone (210) 558-0122
Interoperability endpoints
- maryjo.hull@wellmed.eclinicaldirectplus.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 and National Provider Directory roles.
-
dba WellMed Cardiology
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1386948677
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital Stone Oak
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1356326938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 MEDICAL DR STE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293318",
"telephone_number": "210-558-0122",
"fax_number": "210-558-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 MEDICAL DR STE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293318",
"telephone_number": "210-558-0122",
"fax_number": "210-558-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "MARY JO",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "35351",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "M2779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY JO",
"last_name": "ROHRER",
"middle_name": "KATHERINE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.