MARY C NEAL, MD PC (NPI# 1588729776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588729776 |
| Entity Type | Organization |
| Organization Name | MARY C NEAL, MD PC |
| Other Organization Name | SPINE CARE OF JACKSON HOLE |
| Practice Address |
945 W Broadway Jackson WY 83001 |
| Mailing Address |
Po Box 7369 Jackson WY 83002-7369 |
| Practice Telephone | 3077345999 |
| Practice Fax Number | 3077340345 |
| Mailing Telephone | 3077345999 |
| Mailing Fax Number | 3077340345 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-11-02 |
| Authorized Official Name | MARY C NEAL (PRESIDENT) |
| Authorized Official Telephone | 3077345999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 6101A | WY | Suppliers |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
6101A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BLUE CROSS BLUE SHIELD | 05681001 | 01 |
| Other Name | Type Code |
|---|---|
| Spine Care of Jackson Hole | Doing Business As Name - Organization |
| Street Address |
945 W BROADWAY |
| City | JACKSON |
| State | WY |
| Zip Code | 83001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053476242 | Mary C Neal | Orthopaedic Surgery | 945 W Broadway, Jackson, WY 83001 | 2006-12-27 |
| 1215197041 | Angus Goetz Do PC | Orthopaedic Surgery | 945 W Broadway, Suite 202, Jackson, WY 83001-1359 | 2008-06-16 |
| 1578751913 | William C Neal, M.d. Pllc | Durable Medical Equipment & Medical Supplies | 945 W Broadway, Suite 202, Jackson, WY 83001-7369 | 2007-10-11 |
| 1669683025 | Tyler Paul Bergien | Dentist | 945 W Broadway, Suite #201, Jackson, WY 83001 | 2007-05-25 |
| 1053539536 | Orthopaedic Associates Imaging | Durable Medical Equipment & Medical Supplies | 945 W Broadway, Suite 202, Jackson, WY 83001-7369 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033611009 | Cardiac Cin of Jackson LLC | Orthopaedic Surgery | 460 Briarwood Dr Ste 400-5012, Jackson, MS 39206-3051 | 2018-03-06 |
| 1588166565 | Spine Cin of Jackson LLC | Orthopaedic Surgery | 460 Briarwood Dr Ste 400-5013, Jackson, MS 39206-3051 | 2018-03-06 |
| 1942701040 | Joint Replacement Cin of Jackson LLC | Orthopaedic Surgery | 460 Briarwood Dr Ste 400, Jackson, MS 39206-3062 | 2018-02-23 |
| 1053476242 | Mary C Neal | Orthopaedic Surgery | 945 W Broadway, Jackson, WY 83001 | 2006-12-27 |
| 1669460937 | Robert A Mcguire Jr. | Orthopaedic Surgery | 2500 N State Street, Jackson, MS 39216 | 2005-10-11 |
| 1669934741 | Sms Care of Ms, LLC | Orthopaedic Surgery | 460 Briarwood Dr Ste 400, Jackson, MS 39206-3062 | 2019-04-05 |
| 1720283682 | Marion Stanton Ward | Orthopaedic Surgery | 2500 North State Street, Department of Orthopedics, Jackson, MS 39216-4500 | 2007-06-19 |
| 1861695264 | Graham Carr Calvert | Orthopaedic Surgery | 1325 E Fortification St, Jackson, MS 39202-2442 | 2007-06-06 |
| 1629288642 | Mississippi Spine Clinic Pllc | Orthopaedic Surgery | 971 Lakeland Dr, Suite 950, Jackson, MS 39216-4643 | 2007-05-22 |
| 1790993319 | Bruce Stocker Senter | Orthopaedic Surgery | 971 Lakeland Dr, Suite 950, Jackson, MS 39216-4643 | 2007-05-18 |
| Find all providers in JACKSON | ||||
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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.