DR. MARY CORD MASON (NPI# 1174770101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174770101 |
| Entity Type | Individual |
| Full Name | DR. MARY CORD MASON |
| Credential | M.D. |
| Practice Address |
13380 W Trepania Rd Hayward WI 54843-2186 |
| Practice Telephone | 7156385101 |
| Practice Fax Number | 7156341021 |
| Mailing Telephone | 7156385101 |
| Mailing Fax Number | 7156341021 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2013-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036.088007 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376077594 | Mary Mason | Speech-Language Pathologist | 20204 Natures Spirit Dr, Tampa, FL 33647-3582 | 2017-04-13 |
| 1265875389 | Mary Annable Mason | Massage Therapist | 222 Ne 4th Ave, Camas, WA 98607-2124 | 2013-04-08 |
| 1144485962 | Mary Josephine Mason | Dietitian, Registered | 5501 Nw 62nd Ter Ste 100, Kansas City, MO 64151-2412 | 2008-07-21 |
| 1275670457 | Mary J. Mason | Family Medicine | 3361 Hwy 9 East, Little River, SC 29566-6041 | 2007-01-30 |
| 1245338011 | Mary Mason | Chiropractor | 1208 Shelley Ave, A, Austin, TX 78703-4108 | 2006-09-20 |
| 1972070746 | Mary Frances Mason | Speech-Language Pathologist | 12835 Woodtown Rd, Galena, OH 43021-9476 | 2018-10-30 |
| 1093844540 | Mary V Mason | General Practice | 4950 Childrens Pl, Wohl Medicine Clinic 5th Fl, Saint Louis, MO 63110-1000 | 2007-03-02 |
| 1982743555 | Mary Ellyn Mason | Pharmacist | 3200 Grant St, Evanston, IL 60201-1903 | 2007-02-06 |
| 1538223292 | Mary Ann Mason | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2006-12-20 |
| 1144382334 | Mary Ellen Mason | Family Medicine | 1992 W Antelope Dr, 2b, Layton, UT 84041-4953 | 2006-12-14 |
| Street Address |
13380 W TREPANIA RD |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194830208 | Lac Courte Oreilles Governing Board | Clinic/Center | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2006-08-20 |
| 1942826847 | Dawn Marcel Quaderer | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2020-06-17 |
| 1265052146 | Danielle Hughes | Nurse Practitioner | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2020-04-21 |
| 1730727710 | Lynsey Michelle Weber | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843 | 2019-12-20 |
| 1386299626 | Gina Marie Benson | Clinical Nurse Specialist | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-08-05 |
| 1477107282 | Christian M Clarquist | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-07-30 |
| 1063066082 | Krista Lee Strunk | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-07-29 |
| 1851945968 | Melinda Young | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-07-26 |
| 1790284966 | Jennifer L Petit | Counselor | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2018-02-02 |
| 1063927432 | Alexandra Bice | Counselor | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2017-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279277 | Vst Engineering Inc | Family Medicine | 3391 Kelly St, Hayward, CA 94541-3527 | 2019-05-03 |
| 1629456520 | Kevin Porciuncula | Family Medicine | 1251 W Tennyson Rd Ste 4, Hayward, CA 94544 | 2015-05-12 |
| 1851532675 | Robert R Swenson | Family Medicine | 15954 Rivers Edge Dr Ste 350, Hayward, WI 54843-7888 | 2009-03-09 |
| 1033359641 | Joseph William Ippolito | Family Medicine | 1605 Whipple Rd, Hayward, CA 94544-7928 | 2009-02-23 |
| 1326291196 | Stephanie Man-chi Lee Fung | Family Medicine | 3467 La Mesa Drive, Hayward, CA 94542-2522 | 2008-10-24 |
| 1225250343 | Julie Beth Kahl | Family Medicine | 11134 N. State Rd 77, Duluth Clinic-hayward, Hayward, WI 54843 | 2007-05-02 |
| 1417170044 | Nicholas Toth | Family Medicine | 24100 Amador, Suite 250 Winton Wellness Center, Hayward, CA 94544 | 2007-04-11 |
| 1043390958 | Michael Dayton Delange | Family Medicine | 22298 Main St, Hayward, CA 94541-4005 | 2006-10-16 |
| 1306943626 | Arkady Michailovich Massen | Family Medicine | 19682 Hesperian Blvd Ste 101a, 1393 Santa Rita Rd. #a, Hayward, CA 94541-4752 | 2006-09-20 |
| 1265465561 | Nina J Gilberg | Family Medicine | 11128n State Hwy 27-77, Hayward, WI 54843 | 2006-07-09 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.