Active NPI
Mary C Way, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1508055609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H6693
- Practice address
- 6211 Bishop Boulevard
Dallas, TX 75205 - Phone
- (214) 768-2277
- Fax
- (214) 768-2911
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H6693 | TX | Primary |
Addresses
Primary practice location
6211 Bishop Boulevard
Dallas, TX 75205
Mailing address
PO Box 750195
6211 Bishop Blvd
Dallas, TX 75275-0195
Phone (214) 768-2277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6693 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1508055609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 750195",
"address_2": "6211 BISHOP BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752750195",
"telephone_number": "214-768-2277",
"fax_number": "214-768-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6211 BISHOP BOULEVARD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75205",
"telephone_number": "214-768-2277",
"fax_number": "214-768-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAY",
"first_name": "MARY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H6693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.