MARY SOUTH (NPI# 1215011184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215011184 |
| Entity Type | Individual |
| Full Name | MARY SOUTH |
| Credential | MD |
| Practice Address |
809 White Pond Dr Ste B Akron OH 44320-1178 |
| Practice Telephone | 2342052040 |
| Mailing Telephone | 2342052040 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 35-091391 | OH | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
35 091391 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5901063 | 05 | |
| KY | 7100056360 | 05 | |
| IN | 200911640 | 05 | |
| OH | 2859812 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508283714 | Mary Jane South | Physical Therapist | 401 Jefferson Ave, Glencoe, IL 60022-1825 | 2014-03-25 |
| Street Address |
809 WHITE POND DR STE B |
| City | AKRON |
| State | OH |
| Zip Code | 44320-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184184475 | Gayle Ilene Phelps | Nurse Practitioner | 809 White Pond Dr Ste B, Akron, OH 44320-1178 | 2019-03-22 |
| 1720526056 | Carmen Barkman | Nurse Practitioner | 809 White Pond Dr Ste B, Akron, OH 44320-1178 | 2017-02-07 |
| 1639530116 | Mary South, Md, LLC | Obstetrics & Gynecology | 809 White Pond Dr Ste B, Akron, OH 44320-1178 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628425 | Adrian Hooks | Home Health | 1300 West Market, Akron, OH 44320 | 2019-03-19 |
| 1962979609 | Jeanean Marie Clark | Case Manager/Care Coordinator | 825 Mercer Avenue, Akron, OH 44320 | 2018-10-31 |
| 1205320108 | Dwynica S Pendleton | Case Manager/Care Coordinator | 1176 Cordova Ave, Akron, OH 44320 | 2018-06-15 |
| 1497247902 | Baron Kenley Rogers | Student in an Organized Health Care Education/Training Program | Minority Behavioral Health Group, 1293 Copley Rd, Akron, OH 44320 | 2018-05-31 |
| 1750871513 | Maria Hardgrove | Social Worker | 2279 Romig Rd., Akron, OH 44320 | 2018-05-16 |
| 1043728652 | Asya Michelle Tipton | Nurse's Aide | 852 Delia, Akron, OH 44320 | 2018-01-17 |
| 1669990487 | Rhonda Renee Riddle | Community Health Worker | 308 S Portage Path, Akron, OH 44320 | 2017-08-31 |
| 1467992487 | Rodney Sheppard | Nurse's Aide | 471 White Pond Drive, Apt 604, Akron, OH 44320 | 2017-02-24 |
| 1033571740 | Bernard Taylor | Counselor | 2180 Romig Rd, Akron, OH 44320 | 2016-03-22 |
| 1093173718 | Brittany Stephens | Nurse's Aide | 1207 Greenwood Ave, Akron, OH 44320 | 2016-02-09 |
| Find all providers in zip 44320 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578621611 | Christopher M. Rooney | Obstetrics & Gynecology | 95 Arch St, Ste 220, Akron, OH 44304-1437 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205102092 | Shannon Leigh Wallace | Obstetrics & Gynecology | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-1705 | 2012-03-27 |
| 1487737698 | Steven D Kleeman | Obstetrics & Gynecology | 3301 Mercy Health Blvd Ste 285, Cincinnati, OH 45211-1106 | 2006-10-23 |
| 1932561032 | Megan Abrams | Obstetrics & Gynecology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-03-28 |
| 1548668619 | Summa Physicians Inc | Obstetrics & Gynecology | 1305 Corporate Dr, Suite A, Hudson, OH 44236-4344 | 2014-12-05 |
| 1417290339 | Lisa Caronia Hickman | Obstetrics & Gynecology | 1800 Zollinger Rd Fl 4, Columbus, OH 43221-2800 | 2013-03-28 |
| 1013256981 | Alliance Physicians Inc | Obstetrics & Gynecology | 7756 Washington Village Dr, Suite 135, Centerville, OH 45459-3999 | 2013-02-12 |
| 1629337241 | Sana Hussain Ansari | Obstetrics & Gynecology | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2012-05-16 |
| 1235444050 | Summa Physicians Inc | Obstetrics & Gynecology | 201 5th St Ne, Suite 6, Barberton, OH 44203-3017 | 2010-08-17 |
| 1023347499 | William M. Quirk, M.d., Facog, Obstetrics and Gynecology, LLC. | Obstetrics & Gynecology | 5533 Mahoning Ave, Suite D, Austintown, OH 44515-2366 | 2009-12-15 |
| 1700020138 | Costas A Apostolis | Obstetrics & Gynecology | 3009 Smith Rd Ste 400, Fairlawn, OH 44333 | 2009-04-29 |
| Find all providers with the same taxonomy | ||||
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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.