Mary Vernon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

417719 Issued in KS

Practice address

4951 W 18TH St
Lawrence, KS 66047-2090

Phone

(785) 841-6540

Fax

(785) 841-3129

NPI assigned

Aug 28, 2006

Last updated

Sep 12, 2012By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Emergency Services of Kansas, PA

  • Internal Medicine Physician
  • Newton, KS
  • NPI 1104864503

  Family Medicine

  NPD (past)
• Wide Missouri Emergency Physicians LLC

  • Emergency Medicine Physician
  • Leavenworth, KS
  • NPI 1912280744
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1467560516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674020046",
            "telephone_number": "316-300-4021",
            "fax_number": "316-300-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 W 18TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472090",
            "telephone_number": "785-841-6540",
            "fax_number": "785-841-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0417719",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "417719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193860C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla R Vega, LMLP
• Marciana D Vequist, PHD
• Ryan Vera, LCAC, LCPC
• Stacha Vera, BCBA
• Eric Morrison Vernberg, PH.D.
• Emma C Veyna, D.C.
• Vibrant Health Solutions Center
• Victoria F. Young, LLC
• William Vieux, LSCSW
• Kristin Rose Villa, PHARMD

• Family Medicine Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.