MARY BUSSEY (NPI# 1437119815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437119815 |
Entity Type | Individual |
Full Name | MARY BUSSEY |
Credential | MD |
Practice Address |
707 S Mills St Madison WI 53715-1849 |
Practice Telephone | 6082516100 |
Practice Fax Number | 6088262710 |
Mailing Telephone | 6082516100 |
Mailing Fax Number | 6088262710 |
Enumeration Date | 2006-03-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
33470 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 31848900 | 05 |
Street Address |
707 S MILLS ST |
City | MADISON |
State | WI |
Zip Code | 53715-1849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619959111 | Joel M. Wacker | Emergency Medicine | 707 S Mills St, Madison, WI 53715-1849 | 2005-11-18 |
1528246923 | Mary Jo Snorek | Nurse Practitioner | 707 S Mills St, Madison, WI 53715-1849 | 2008-02-07 |
1770784639 | Charlotte Elaine James | Physical Therapy Assistant | 707 S Mills St, Madison, WI 53715-1849 | 2007-05-29 |
1205054335 | David William Petty | Pharmacist | 707 S Mills St, Suite 300, Madison, WI 53715-1849 | 2007-04-23 |
1356464721 | Banu Edil | Emergency Medicine | 707 S Mills St, St Mary's Hospital, Madison Emergency Physicians (mep), Madison, WI 53715-1849 | 2007-04-09 |
1821131574 | Christian J Rickman | Emergency Medicine | 707 S Mills St, Madison, WI 53715-1849 | 2007-02-14 |
1225119522 | Edward Ahrens | Internal Medicine | 707 S Mills St, Madison, WI 53715-1849 | 2006-10-17 |
1881623379 | Leslie Greenspan | Psychiatry & Neurology | 707 S Mills St, Madison, WI 53715-1849 | 2006-06-30 |
1851329064 | Tyson O Bryant | Emergency Medicine | 707 S Mills St, Madison, WI 53715-1849 | 2006-06-28 |
1437193810 | Kevin A Kurtz | Pathology | 707 S Mills St, Dept. of Pathology, Madison, WI 53715-1849 | 2006-06-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
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Taxonomy Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235512104 | Megan Williams | Pediatrics | 600 Highland Ave, Madison, WI 53792 | 2015-07-09 |
1093945800 | Megan E Peters | Pediatrics | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2009-07-15 |
1215165477 | Awni M Al-subu | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2009-06-26 |
1457594970 | Juan P Boriosi | Pediatrics | 600 Highland Ave., Madison, WI 53792-3284 | 2009-04-14 |
1558564062 | Melissa Ann Cercone | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2007-06-11 |
1770707135 | Sushant Srinivasan | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2007-04-13 |
1518992189 | Pelin Cengiz | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2006-07-12 |
1932146735 | Peter A Ferrazzano | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2006-06-01 |
1225098676 | Karl F Szewczyk | Pediatrics | 707 S Mills St, Madison, WI 53715-1849 | 2006-03-27 |
1114994571 | Marlowe W Eldridge | Pediatrics | 600 Highland Ave, Madison, WI 53792 | 2006-03-03 |
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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.