Mary F Chisholm, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

191830 Issued in NY

Practice address

535 E 70TH St
HSS Dept. of Anesthesiology
New York, NY 10021-4823

Phone

(212) 606-1036

Fax

(212) 517-4481

NPI assigned

Apr 18, 2006

Last updated

May 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Gary a. Fantini, M.D., PLLC

  • Specialist
  • New York, NY
  • NPI 1104248517
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1912962663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27578",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877578",
            "telephone_number": "631-329-6925",
            "fax_number": "631-329-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "address_2": "HSS DEPT. OF ANESTHESIOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214823",
            "telephone_number": "212-606-1036",
            "fax_number": "212-517-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "MARY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "191830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01671943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Spinal Assesments PC
• Chiropractic Wellnes of Fidi Nyc, PC
• Renu Chiruvolu, DO
• Karen Nicole Chis, LMSW
• Marcia Marie Chisholm
• Julia Chislenko, LCSW, PHD
• Makini Chisolm-Straker, MD
• Douglas Chisolm, C.R.N.A.
• Terrence Ranier Chisolm, PHD
• Yeshwant Ramchandra Chitalkar, M.D.

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.