Individual provider Active NPI

Mary Spencer Deshields, MD

  • Medical Oncology Physician
  • Easton, MD
National Provider Identifier
1952411795
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
D47232 Issued in MD
Practice address
401 Purdy Street
Suite 101
Easton, MD 21601
Phone
(410) 819-3332
Fax
(410) 819-3322
NPI assigned
Aug 30, 2006
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X D47232 MD Primary

Addresses

Primary practice location

401 Purdy Street
Suite 101
Easton, MD 21601

Mailing address

509 Idlewild Ave
Ste 1
Easton, MD 21601-3890
Phone (410) 819-3332

Other practice location 1

2 Jennifer Ct Ste C
Carlisle, PA 17015-7694
Phone (717) 960-3750

Other identifiers 1

IdentifierTypeStateIssuer
370351700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040322001323 MD Practitioner - Medical Oncology 0244120848 Reassigns benefits to 1 organization
I20221027000143 PA Practitioner - Medical OncologyPractitioner - Internal Medicine 0244120848 Reassigns benefits to 1 organization
I20240514000778 IN Practitioner - Hematology/Oncology 0244120848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Howard University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3280

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Oncology & Hematology, LLC CurrentSince Apr 14, 2024 Accepting new patients
Upmc Hillman Cancer Center-Pinnacle Medical Oncology CurrentSince Oct 3, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Good Samaritan Hospital Physician Services, Inc Medical Oncology CurrentSince Jun 1, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Good Samaritan Hospital CurrentSince Jun 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University of Maryland Community Medical Group, Inc. PastSince Mar 31, 2024 Accepting new patients

Locations

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

509 Idlewild Ave
Easton, MD 21601
Phone (410) 820-6411

509 Idlewild Ave
Ste 1
Easton, MD 21601
Phone (410) 490-9849

509 Idlewild Ave
Ste 2
Easton, MD 21601
Phone (410) 819-3332

12800 Middlebrook Rd
Ste 430
Germantown, MD 20874
Phone (240) 618-0275

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

2 Jennifer Ct
Ste C
Carlisle, PA 17015
Phone (717) 218-9830

25 Sprint Dr
Carlisle, PA 17015
Phone (717) 737-5767

4300 Londonderry Rd
Ste 302
Harrisburg, PA 17109
Phone (717) 724-6780

Interoperability endpoints

  • Direct secure messaging: mdeshields1634971@direct.trinity-health.org

Organizations & group practices 9

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1952411795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 IDLEWILD AVE",
            "address_2": "STE 1",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013890",
            "telephone_number": "410-819-3332",
            "fax_number": "410-819-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PURDY STREET",
            "address_2": "SUITE 101",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-819-3332",
            "fax_number": "410-819-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Jennifer Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157694",
            "country_code": "US",
            "telephone_number": "717-960-3750",
            "fax_number": "717-960-3734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHIELDS",
        "first_name": "MARY",
        "middle_name": "SPENCER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D47232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370351700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.