Organization Active NPI

Mary Conway,MD PA

  • Internal Medicine Physician
  • Washington, NC
National Provider Identifier
1457536112
Registry record updated Dec 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
95-00870 Issued in NC
Legal business name
MARY CONWAY,MD PA
Practice address
330 N Market S
Washington, NC 27889-4934
Phone
(252) 940-1174
Fax
(252) 940-1176
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2009

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

Authorized official

Name
Dr. Mary M Conway, MD
Title
Physician
Phone
(252) 940-1174

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 9500870 NC
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 95-00870 NC Primary

Addresses

Primary practice location

330 N Market S
Washington, NC 27889-4934

Mailing address

330 N Market Street
Washington, NC 27889-4934
Phone (252) 940-1174

Other identifiers 2

IdentifierTypeStateIssuer
23825OtherNCBCBS
8923825MedicaidNC

National Provider Directory

National Provider Directory

Locations

330 N Market St
Washington, NC 27889
Phone (252) 940-1174

320 N Market St
Washington, NC 27889
Phone (252) 946-3122

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261180800000",
    "number": "1457536112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MARKET STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894934",
            "telephone_number": "252-940-1174",
            "fax_number": "252-940-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MARKET S",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894934",
            "telephone_number": "252-940-1174",
            "fax_number": "252-940-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CONWAY,MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2009-12-19",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "252-940-1174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9500870",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "95-00870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23825",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8923825",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2009; 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.