Individual provider Active NPI

Mary Ann Hye Seung Son, M.D.

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1669812079
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S4059 Issued in TX
Practice address
4801 Alberta Ave
El Paso, TX 79905-2707
Phone
(915) 215-5000
Fax
(915) 215-8662
NPI assigned
Jun 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301103752 MI
Obstetrics & Gynecology Physician 207V00000X S4059 TX Primary

Addresses

Primary practice location

4801 Alberta Ave
El Paso, TX 79905-2707

Mailing address

440 Raynolds St
El Paso, TX 79905-1613
Phone (915) 215-4480

Other practice location 1

2000 Trans Mountain Rd Ste B
El Paso, TX 79911-3602
Phone (915) 215-8400

Other practice location 2

19251 Mack Ave Ste 311
Grosse Pointe Woods, MI 48236-2893
Phone (313) 343-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191120003016 TX Practitioner - Obstetrics/Gynecology 4587938980 Reassigns benefits to 1 organization
I20240802002538 PA Practitioner - Obstetrics/Gynecology 4587938980 Reassigns benefits to 1 organization
I20240930001315 WV Practitioner - Obstetrics/Gynecology 4587938980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

205 Mary Higginson LN
Uniontown, PA 15401-2658
Phone (855) 988-2273

Hospital & facility affiliations

  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301103752MIMDObstetrics & Gynecology Physician
S4059TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation Obstetrics & Gynecology CurrentSince Aug 1, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Nov 1, 2019 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Maimonides Medical Center Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Nov 1, 2019 Accepting new patients
Texas Tech University Health Sciences Center Odessa Obstetrics & Gynecology PastSince Nov 10, 2019 Accepting new patients
El Paso County Hospital District Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

205 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 276-0712

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

1322 Pineview Dr
Morgantown, WV 26505
Phone (304) 598-3100

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

608 Cheat Rd
Morgantown, WV 26508
Phone (304) 594-1313

6040 University Town Centre Dr
Morgantown, WV 26501

Interoperability endpoints

  • Direct secure messaging: maryann.son.p1@direct.ezramedical.nextgenshare.com
  • Direct secure messaging: maryannson@mai.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1669812079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 RAYNOLDS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051613",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052707",
            "telephone_number": "915-215-5000",
            "fax_number": "915-215-8662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Trans Mountain Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799113602",
            "country_code": "US",
            "telephone_number": "915-215-8400",
            "fax_number": "915-612-9253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19251 Mack Ave Ste 311",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Woods",
            "state": "MI",
            "postal_code": "482362893",
            "country_code": "US",
            "telephone_number": "313-343-8306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SON",
        "first_name": "MARY ANN",
        "middle_name": "HYE SEUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301103752",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S4059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.