Organization Active NPI

Mark S. Mieth MD PC

  • Orthopaedic Surgery Physician
  • Niagara Falls, NY
National Provider Identifier
1194961391
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
200346 Issued in NY
Legal business name
MARK S. MIETH MD PC
Practice address
1 Colomba Dr Ste 1
Witmer Park Medical Center
Niagara Falls, NY 14305-1275
Phone
(716) 297-7207
Fax
(716) 297-7238
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Mark S. Mieth, MDNPI 1497721336
Title
Owner
Phone
(716) 297-7207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 200346 NY Primary

Addresses

Primary practice location

1 Colomba Dr Ste 1
Witmer Park Medical Center
Niagara Falls, NY 14305-1275

Mailing address

908 Niagara Falls Blvd
Ste 208
N Tonawanda, NY 14120-2019
Phone (716) 692-3302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090112000004 NY Part B Supplier - Clinic/Group Practice 1355404716 Receives reassigned benefits from 1 practitioner
Practice locations: Niagara Falls, NY

National Provider Directory

National Provider Directory

Locations

1 Colomba Dr
Ste 1
Niagara Falls, NY 14305
Phone (716) 282-8691

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1194961391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "STE 208",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-213-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLOMBA DR STE 1",
            "address_2": "WITMER PARK MEDICAL CENTER",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051275",
            "telephone_number": "716-297-7207",
            "fax_number": "716-297-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. MIETH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "MIETH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-297-7207",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "200346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.