Mary Short-Ray D.O., P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

5101011718 Issued in MI

Legal business name

MARY SHORT-RAY D.O., P.C.

Practice address

180 Little Lake Dr
Suite 5
Ann Arbor, MI 48103-6219

Phone

(734) 904-2496

Fax

(248) 363-1393

NPI assigned

Jul 8, 2008

Last updated

Aug 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary E. Short

Title

Physician/President

Phone

(734) 904-2496

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1356504427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LITTLE LAKE DRIVE",
            "address_2": "SUITE 5",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-904-2496",
            "fax_number": "248-363-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LITTLE LAKE DR",
            "address_2": "SUITE 5",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036219",
            "telephone_number": "734-904-2496",
            "fax_number": "248-363-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY SHORT-RAY D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "734-904-2496"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "5101011718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neena Ishwari Marupudi, M.D., M.S.
• Monica Marvin, CGC
• Mary J Belongea
• Mary K Anderson PHD PLLC
• Mary Kathryn Korte-Turnbull
• Maryann Kruse Bens, PLLC
• David A Marzano, MD
• Megan Marie Marzec
• Christopher John Marzonie, DDS
• Amy Marzulla, LMSW

• Primary Care Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.