Susan Adams Marik, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

83792 Issued in MT

Practice address

305 W Porphyry St Ste 200
Butte, MT 59701-2000

Phone

(406) 496-3627

Fax

(406) 723-2496

NPI assigned

Jan 23, 2006

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in SC, MT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smarik2961989@wm.providencedirect.org

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

• Community Hospital of Anaconda

  • Critical Access Hospital
  • Anaconda, MT
  • NPI 1205887924
  Medicare reassignment NPD
• Community Hospital of Anaconda

  dba Pintler Family Medicine East

  • Family Medicine Physician
  • Anaconda, MT
  • NPI 1538597703
  Medicare reassignment NPD
• Northern Montana Hospital

  • Critical Access Hospital
  • Havre, MT
  • NPI 1427059070
  Medicare reassignment NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas-Vascular Access Surgery-Pelham

  • Surgery Physician
  • Greer, SC
  • NPI 1760114664
  Medicare reassignment NPD
• Community Hospital of Anaconda

  dba Pintler Orthopedics and Spine

  • Surgery Physician
  • Anaconda, MT
  • NPI 1023623675
  NPD
• Community Hospital of Anaconda

  dba pintler family practice

  • Family Medicine Physician
  • Anaconda, MT
  • NPI 1336244797
  NPD
• Community Hospital of Anaconda

  dba anaconda pediatrics

  • Pediatric Adolescent Medicine Physician
  • Anaconda, MT
  • NPI 1992838288
  NPD
• Northern Montana Hospital

  dba Northern Montana Family Medical Center

  • Rural Health Clinic/Center
  • Havre, MT
  • NPI 1538131172
  NPD
• Northern Montana Hospital

  dba Northern Montana Hospital Swing Beds

  • Critical Access Hospital
  • Havre, MT
  • NPI 1578536355
  NPD
• Northern Montana Hospital

  dba Northern Montana Hospital Emergency Medicine

  • Clinic/Center
  • Havre, MT
  • NPI 1669447967
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Carolina Ob/Gyn

  • Obstetrics & Gynecology Physician
  • Spartanburg, SC
  • NPI 1760637904
  NPD
• Continental Divide OBGYN, P.L.L.C.

  • Obstetrics & Gynecology Physician
  • Butte, MT
  • NPI 1700098357
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1043280050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W PORPHYRY ST STE 200",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012000",
            "telephone_number": "406-496-3627",
            "fax_number": "406-723-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W PORPHYRY ST STE 200",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012000",
            "telephone_number": "406-496-3627",
            "fax_number": "406-723-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIK",
        "first_name": "SUSAN",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "21575",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "83792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4512373",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T57872",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00041395",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "195790",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8906392",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Johanna Mahoney
• Maria Malloy, MSW
• Karen Sue Maloughney, RN
• Jennifer Mankins
• Anne M Marcotte, DDS
• Daniel Alex Markin, PT, DPT
• Larry Steven Marquez II
• Bartholomew Andrew Martyak, MD
• Jodi Marie Martz, LCPC
• Angelia Rae Mathias, LCPC, LAC

• Obstetrics & Gynecology Physician in Butte, MT
• Providers in Butte, MT by specialty
• Obstetrics & Gynecology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.