Individual provider Active NPI

Mary A Sauvey, M.D

  • Family Medicine Physician
  • De Pere, WI
National Provider Identifier
1891886248
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38261 Issued in WI
Practice address
1500 Heritage Rd
Suite a
De Pere, WI 54115-4017
Phone
(920) 347-1990
Fax
(920) 347-1991
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38261 WI Primary
Adult Medicine Physician 207QA0505X 38261 WI

Addresses

Primary practice location

1500 Heritage Rd
Suite a
De Pere, WI 54115-4017

Mailing address

1500 Heritage Rd
Suite a
De Pere, WI 54115-4017
Phone (920) 347-1990

Other identifiers 1

IdentifierTypeStateIssuer
34129300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170424001767 WI Order and Referring Only - General PracticePractitioner - General Practice 9335191287

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38261WIMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1891886248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HERITAGE RD",
            "address_2": "SUITE A",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541154017",
            "telephone_number": "920-347-1990",
            "fax_number": "920-347-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HERITAGE RD",
            "address_2": "SUITE A",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541154017",
            "telephone_number": "920-347-1990",
            "fax_number": "920-347-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUVEY",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "38261",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WI",
            "license": "38261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34129300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

Verify at the official NPI Registry.