Mary Kay Dineen, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

0101034565 Issued in VA

Practice address

12700 McManus Blvd
Suite 102 a
Newport News, VA 23602-4407

Phone

(757) 874-8696

Fax

(757) 872-9904

NPI assigned

Jul 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1477550671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-594-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 MCMANUS BLVD",
            "address_2": "SUITE 102 A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024407",
            "telephone_number": "757-874-8696",
            "fax_number": "757-872-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINEEN",
        "first_name": "MARY",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101034565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477550671",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Digitrace Care Services Inc
• Digitrace Care Services Inc
• Sarah James Dill, MD
• Ryan Dimaria
• Lorraine Dimuccio, LCSW
• Wendy O Dinonno, GENETIC COUNSELOR
• Michelle Renee Dipasquale, AGACNP-BC
• Direct Home Health Care Inc
• David Raymond Ditman
• Alyssa Divinagarcia

• Gynecology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.