Mary McComis, MD
Obstetrics & Gynecology in Waukesha, WI. Individual provider (NPI-1).
NPI number1104890722
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1104890722
- Entity type
- Individual (NPI-1)
- Name
- Mary McComis
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2006
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 34707 | WI | Yes |
Practice location
721 American Ave, Ste 304Waukesha, WI 53188
Phone 262-549-2229 · Fax 262-549-1657
Mailing address
721 American Ave, Ste 304Waukesha, WI 53188
Phone 262-549-2229 · Fax 262-549-1657
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