Active NPI
Mary F McDonald, MD
- Gastroenterology Physician
- Oshkosh, WI
National Provider Identifier
1699789396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 28027020
- Practice address
- 2700 W 9TH Ave
Suite 300
Oshkosh, WI 54904-7247 - Phone
- (920) 223-0490
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 28027020 | WI | Primary |
| Hepatology Physician | 207RI0008X | 28027020 | WI |
Addresses
Primary practice location
2700 W 9TH Ave
Suite 300
Oshkosh, WI 54904-7247
Mailing address
3420 Jackson St
Suite E
Oshkosh, WI 54901-8144
Phone (920) 426-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30757700 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28027020 | WI | MD | Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Specialists SC | Gastroenterology | Past | Accepting new patients |
| Psychiatric Consultants SC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Neenah, WI
- NPI 1174692677
-
- Psychiatry Physician
- Oshkosh, WI
- NPI 1669486627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1699789396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 JACKSON ST",
"address_2": "SUITE E",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549018144",
"telephone_number": "920-426-2211",
"fax_number": "920-426-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 W 9TH AVE",
"address_2": "SUITE 300",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549047247",
"telephone_number": "920-223-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MARY",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "28027020",
"primary": true
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "WI",
"license": "28027020",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30757700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.