Patricia A St. Marie, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001562 Issued in MI

Practice address

4756 Squirrel Hill Dr
Troy, MI 48098-6608

Phone

(248) 267-0135

Fax

(248) 338-5547

NPI assigned

Feb 13, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pocs Mental Health PC

  • Clinical Social Worker
  • Wayne, MI
  • NPI 1689901993
  NPD
• Medical Visiting Physicians PLLC

  • Home Health Agency
  • Detroit, MI
  • NPI 1710168992
  NPD (past)
• Telemed Consultants PLLC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1699398347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1013185016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30513 SPRINGLAND ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344671",
            "telephone_number": "248-471-1771",
            "fax_number": "248-338-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4756 SQUIRREL HILL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986608",
            "telephone_number": "248-267-0135",
            "fax_number": "248-338-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. MARIE",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pawel Sroka
• St Joseph Mercy Oakland
• Derek Richard St Louis, MD
• St Mark Rehabilitation and Health Services
• St. John Hospital and Medical Center
• St. Richard'S Angels Home Help LLC
• Danelle Renae Stabel, D.O.
• Veronica Ann Louise Stafford, MD
• Elizabeth Rose Stahl
• Trey Staley, LAT, ATC

• Physician Assistant in Troy, MI
• Providers in Troy, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.