Individual provider Active NPI

Mary O Ready, MD

  • Family Medicine Physician
  • Concord, VT
National Provider Identifier
1922062959
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0010942 Issued in VT
Practice address
201 East Main Street
Concord, VT 05824-0355
Phone
(802) 695-2512
Fax
(802) 695-1303
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0010942 VT Primary

Addresses

Primary practice location

201 East Main Street
Concord, VT 05824-0355

Mailing address

165 Sherman Drive
St Johnsbury, VT 05819
Phone (802) 748-9405

Other identifiers 1

IdentifierTypeStateIssuer
1011939MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20051013001008 VT Practitioner - Family PracticePractitioner - Hospice/Palliative Care 1254356694 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0010942VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Northern Counties Health Care, Inc. CurrentSince Oct 4, 2010 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Sep 1, 2005 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Sep 1, 2005 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Feb 27, 2011 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Sep 1, 2005 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Oct 1, 2013 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northern Counties Health Care Inc CurrentSince Oct 4, 2010 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients

Locations

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

195 Industrial Pkwy
Lyndonville, VT 05851

161 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-8116

165 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-9405

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

1080 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 473-4100

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Caledonia Home Health Care & HospiceSt Johnsbury, VT, CCN 471502 Hospice W-2 Managing Employee Aug 31, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1922062959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SHERMAN DRIVE",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "05819",
            "telephone_number": "802-748-9405",
            "fax_number": "802-748-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EAST MAIN STREET",
            "city": "CONCORD",
            "state": "VT",
            "postal_code": "058240355",
            "telephone_number": "802-695-2512",
            "fax_number": "802-695-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READY",
        "first_name": "MARY",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0010942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011939",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, VT

Sources for this page

Verify at the official NPI Registry.