Dr. Mary Susan Jay
MD | Pediatric Adolescent Medicine | Female
Dr. Mary Susan Jay, MD is a Milwaukee, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Mary Susan Jay is
8915 W Connell Ave, Milwaukee, Wisconsin - 53226-3067. She can be contacted on phone at
414-266-2873 and fax number 414-337-7860.
Dr. Mary Susan Jay is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Mary Susan Jay is
1649221482 which was assigned by NPPES on 15 May, 2006 and it was last updated on 03 Jun, 2019.
Dr. Mary Susan Jay license number is
47315 for Pediatrics Adolescent Medicine (2080A0000X) in Wisconsin.
Dr. Mary Susan Jay specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Mary Susan Jay basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Dr. Mary Susan Jay |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Mary Susan Jay address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8915 W Connell Ave
Milwaukee, WI, 53226-3067
United States |
|---|
| Phone Number : | 414-266-2873 |
|---|
| Fax Number : | 414-337-7860 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649221482 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 15 May, 2006 |
|---|
| Last Updated On : | 03 Jun, 2019 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary Susan Jay are as mentioned. Primary taxonomy code for Dr. Mary Susan Jay, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 47315 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mary Susan Jay such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1649221482 | MEDICAID | WI | |
| 000030377M | Other | | HUMANA |
| 34582200 | MEDICAID | WI | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
9000 W WISCONSIN AVE,
MILWAUKEE, WI, 53226-4874
United States | MILWAUKEE, WI | 414-266-2754 |
6809 122ND AVE,
KENOSHA, WI, 53142-7335
United States | KENOSHA, WI | 877-607-5280 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8915 W Connell Ave
Milwaukee, WI, 53226-3067
United States |
|---|
| Phone Number : | 414-266-2873 |
|---|
| Fax Number : | 414-337-7860 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Mary Susan Jay practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.