MARY CATHERINE BRANDT (NPI# 1215595582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215595582 |
| Entity Type | Individual |
| Full Name | MARY CATHERINE BRANDT |
| Credential | MD |
| Practice Address |
701 N 1st St Ste D308 Springfield IL 62702-3757 |
| Mailing Address |
Po Box 19638 Springfield IL 62794-9638 |
| Practice Telephone | 2175454401 |
| Practice Fax Number | 2175451793 |
| Mailing Telephone | 2175454401 |
| Mailing Fax Number | 2175451793 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 125074038 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174948467 | Mary Beth Brandt | Pharmacist | 805 W Wade Hampton Blvd, Greer, SC 29650-1311 | 2014-02-24 |
| 1073720751 | Mary Ellen Brandt | Licensed Practical Nurse | 1418 Woodbridge St, Saint Paul, MN 55117-4413 | 2007-05-16 |
| 1114445343 | Mary Alicia Brandt | Technician/Technologist | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-08 |
| 1669799102 | Mary Sarah Brandt | Emergency Medicine | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2010-04-23 |
| 1962619775 | Mary Elizabeth Brandt | Dentist | 370 Medical Dr, Ste C, Carmel, IN 46032-2916 | 2007-05-17 |
| 1932266913 | Mary E. Brandt | Social Worker | 601 S Broadway St, Grove, OK 74344-3429 | 2007-01-02 |
| 1801976238 | Mary Brandt | Surgery | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2006-10-17 |
| Street Address |
701 N 1ST ST STE D308 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154618775 | Alexandria Dailey Mcdow | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2011-07-04 |
| 1063037851 | Wendy Lim | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2020-06-08 |
| 1851915441 | Alison Embalabala | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2020-05-30 |
| 1467075499 | Calvin Korba | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2020-05-26 |
| 1932722006 | Bryan Michael Mistretta | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2020-05-25 |
| 1184284440 | Sean O'malley | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2019-06-19 |
| 1194383331 | Megan Elizabeth Kauffman | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2019-06-03 |
| 1942868658 | Supriya Shah | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2019-05-29 |
| 1477047785 | Kanika Chawla | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2018-06-20 |
| 1932691631 | Philipos Kidane Gebremedhin | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2018-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184114480 | New Jersey Bariatric Group, PC | Surgery | 193 Morris Ave Fl 2, Springfield, NJ 07081-1211 | 2018-05-14 |
| 1174903488 | Samuel J Rheinhardt | Surgery | 701 N 1st St Ste D327, Springfield, IL 62702-3757 | 2015-06-02 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1881033926 | Frank A. Cornella Dds, Md PC | Surgery | 3237 E Sunshine St Ste B, Springfield, MO 65804-6919 | 2013-06-21 |
| 1881943678 | Roland Folse | Surgery | 2 Virginia Lane, Springfield, IL 62712 | 2012-09-07 |
| 1780939462 | Daniel Caleb Persinger | Surgery | 100 W Mccreight Ave Ste 110, Springfield, OH 45504-1890 | 2012-07-18 |
| 1154618775 | Alexandria Dailey Mcdow | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2011-07-04 |
| 1356655054 | Allison Melissa Key | Surgery | 1965 S Fremont Ave Ste 230, Springfield, MO 65804-2258 | 2010-08-05 |
| 1679704761 | James P Buwen | Surgery | 193 Morris Ave, 2nd Floor, New Jersey Bariatric Center, Springfield, NJ 07081 | 2009-08-06 |
| 1386871069 | Lindsey Leigh Saint | Surgery | 315 W Carpenter St Fl 2, Springfield, IL 62702 | 2009-06-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on MARY CATHERINE BRANDT.
| 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.