1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. General Practice
  6. NPI Profile

DR. MARY PATRICIA ELDRIDGE M.D.
NPI 1063673903
General Practice in Kenosha, WI

Active since June 23, 2008
1400 75TH ST, SUITE #5, KENOSHA, WI 53143(262) 656-1911(888) 316-8458 Get Directions Write a Review

NPPES record last updated: September 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Patricia Eldridge M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY PATRICIA ELDRIDGE M.D. (NPI 1063673903) is an individual general practice provider in Kenosha, Wisconsin, licensed in Wisconsin (54685-20) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1063673903
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MARY PATRICIA ELDRIDGECredential: M.D.
Location Address1400 75TH ST, SUITE #5Kenosha, WI 53143-1544
Mailing Address1400 75th St, Suite #5Kenosha, WI 53143-1544 · (262) 656-1911 · Fax (888) 316-8458
Phone(262) 656-1911
Fax(888) 316-8458
Sole ProprietorYes
Enumeration DateJune 23, 2008
Last NPPES UpdateSeptember 19, 2015
✔ NPI 1063673903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WI · 54685-20
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1400 75TH ST, Kenosha, WI 53143
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMI LYNN POMEROY LPC
Counselor
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
E JOHN ELDRIDGE MD SC
Ophthalmology
1400 75TH ST, SUITE 3
KENOSHA, WI 53143
Kenosha County (262) 652-9500
NINA ORLANDO
Counselor (Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
MEGHAN KELLEY JANER
Counselor (Professional)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
SARA CUMMINGS
Social Worker
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
TYLOR ROCKWELL
Nurse Practitioner (Psychiatric/Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
DENISE M GILANYI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
MEREDITH ROBBINS LPC, SAC
Counselor (Professional)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Eldridge's NPI number?

The NPI number for Mary Eldridge is 1063673903. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Mary Eldridge located?

Mary Eldridge practices at 1400 75th St Suite #5, Kenosha, WI 53143. The listed phone number is (262) 656-1911.

What is Mary Eldridge's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mary Eldridge was last updated on September 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.