Active NPI
Maisie Irene Martinick, M.D.
- Anesthesiology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 272924
- Practice address
- 1200 E. Broad Street West Hospital - W6S
Gme Administration Pob 980257
Richmond, VA 23298-0257 - Phone
- (804) 828-9783
- Fax
- (804) 828-5613
- NPI assigned
- Mar 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 9544203 | NY | |
| Anesthesiology Physician | 207L00000X | 0101257763 | VA | |
| Anesthesiology Physician | 207L00000X | 272924 | NY | Primary |
Addresses
Primary practice location
1200 E. Broad Street West Hospital - W6S
Gme Administration Pob 980257
Richmond, VA 23298-0257
Mailing address
5300 Military Road
Mount St. Mary'S Hospital
Lewiston, NY 14092
Phone (716) 297-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 632-1088
Hospital & facility affiliations
- Kaleida Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272924 | NY | MD | Anesthesiology Physician |
| 9544203 | NY | MD | Anesthesiology Physician |
| 0101257763 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Gate Anesthesiologists, P.C. | Anesthesiology | Current | Accepting new patients |
| Parkside Medical Anesthesia Associates | Anesthesiology | Current | Accepting new patients |
Locations
3871 Harlem Rd
Ste 202
Buffalo, NY 14215
818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
2568 Walden Ave
Ste 103
Cheektowaga, NY 14225
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Cheektowaga, NY
- NPI 1528072709
-
- Anesthesiology Physician
- Buffalo, NY
- NPI 1871537464
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1013232230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 MILITARY ROAD",
"address_2": "MOUNT ST. MARY'S HOSPITAL",
"city": "LEWISTON",
"state": "NY",
"postal_code": "14092",
"telephone_number": "716-297-4800",
"fax_number": "804-828-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E. BROAD STREET WEST HOSPITAL - W6S",
"address_2": "GME ADMINISTRATION POB 980257",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980257",
"telephone_number": "804-828-9783",
"fax_number": "804-828-5613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINICK",
"first_name": "MAISIE",
"middle_name": "IRENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "9544203",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101257763",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "272924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.