Organization Active NPI

Mary South, MD, LLC

Doing business as Mary South, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Akron, OH
National Provider Identifier
1639530116
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
35091391
Legal business name
MARY SOUTH, MD, LLC
Doing business as
Mary South, MD
Practice address
809 White Pond Dr Ste B
Akron, OH 44320-1178
Phone
(234) 205-2040
NPI assigned
Mar 11, 2016
Last updated
Sep 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Mary M South, MDNPI 1215011184
Title
Owner
Phone
(234) 205-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35091391
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 35091391 Primary

Addresses

Primary practice location

809 White Pond Dr Ste B
Akron, OH 44320-1178

Mailing address

809 White Pond Dr Ste B
Akron, OH 44320-1178
Phone (234) 205-2040

Other names 1

  • Mary South, MD Doing business as

National Provider Directory

National Provider Directory

Locations

468 E Market St
Ste D
Akron, OH 44304
Phone (234) 205-2040

809 White Pond Dr
Ste B
Akron, OH 44320
Phone (234) 205-2040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1639530116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 WHITE POND DR STE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201178",
            "telephone_number": "234-205-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WHITE POND DR STE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201178",
            "telephone_number": "234-205-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY SOUTH, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "SOUTH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "234-205-2040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": "35091391",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": "35091391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary South, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.