Active NPI
Mary E Vono, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- L4788
- Practice address
- 3445 Executive Center Dr Ste 250
Austin, TX 78731-1678 - Phone
- (512) 579-4000
- Fax
- (512) 222-0146
- NPI assigned
- Jan 18, 2006
- Last updated
- Oct 28, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | L4788 | TX | Primary |
Addresses
Primary practice location
3445 Executive Center Dr Ste 250
Austin, TX 78731-1678
Mailing address
3445 Executive Center Dr Ste 250
Austin, TX 78731-1678
Phone (512) 579-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158809701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Alabama School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9720 Datapoint Dr
San Antonio, TX 78229-2030
Phone (210) 892-3700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom & Huang | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Associates of San Antonio, L.L.P. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Foundations, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
3445 Executive Center Dr
Ste 250
Austin, TX 78731
Phone (512) 339-1275
1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555
551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414
519 W Houston St
Fl 3
San Antonio, TX 78207
Phone (210) 225-3750
9720 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- San Antonio, TX
- NPI 1407844848
-
dba Oculus Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1255395810
-
- Anatomic Pathology & Clinical Pathology Physician
- San Antonio, TX
- NPI 1528057346
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital Hill Country
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
dba Peterson Regional Medical Center
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1922088756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 EXECUTIVE CENTER DR STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311678",
"telephone_number": "512-579-4000",
"fax_number": "512-222-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 EXECUTIVE CENTER DR STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311678",
"telephone_number": "512-579-4000",
"fax_number": "512-222-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONO",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "L4788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158809701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Von's in Home Care , LLC (Von's In Home Care)
- Nicole Leigh Vondall, P.A.
- Mackenzie Vondrak, DPT
- Michelle Voneida, FNP
- Linda Davis Vonkreisler, RN CS
- Frank Volker Vonsehrwald, RPH
- Christine Vonthaden, BCBA
- Vonzee Interests LLC (Plumeria Counseling Center)
- Desiree Voorhees, PA-C
- Fred J Voorhees, DDS MSD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.