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DR. MARY ELLEN WECHTER M.D. M.P.H. NPI 1194813493


NPI Information

NPI: 1194813493
Provider Name: DR. MARY ELLEN WECHTER, M.D., M.P.H.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
836 PRUDENTIAL DR
SUITE 1600
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 399-4862
Get Directions

DR. Mary Ellen Wechter, M.D., M.P.H. is a gynecology obstetrics gynecology in Jacksonville, FL with 24 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Mary Ellen Wechter, M.D., M.P.H. NPI is 1194813493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MAYO MEDICAL SCHOOL
Graduation Year:2000

The provider's business location address is:

836 PRUDENTIAL DR
SUITE 1600
JACKSONVILLE, FL
ZIP 32207-334
Phone: (904) 399-4862
Fax: (904) 402-8948

The NPI 1194813493 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 2/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecologyME101802FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AW897ZMEDICARE PINFLORIDA
2064350500MEDICAIDFLORIDA
3I06778MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.