Active NPI
Dr.Mark S. St.Marie Physician PLLC
- Preferred Provider Organization
- West Seneca, NY
National Provider Identifier
1346797354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 1363121
- Legal business name
- DR.MARK S. ST.MARIE PHYSICIAN PLLC
- Practice address
- 550 Orchard Park Rd
Building a Suite 104
West Seneca, NY 14224-2646 - Phone
- (716) 671-2130
- Fax
- (716) 671-5346
- NPI assigned
- Sep 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Margaret Delmonte, MEDICAL ASSISTANT
- Title
- Office Manager
- Phone
- (716) 671-2130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 1363121 | NY | Primary |
Addresses
Primary practice location
550 Orchard Park Rd
Building a Suite 104
West Seneca, NY 14224-2646
Mailing address
550 Orchard Park Rd
Building a Suite 104
West Seneca, NY 14224-2646
Phone (716) 671-2130
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473206400000",
"number": "1346797354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 ORCHARD PARK RD",
"address_2": "BUILDING A SUITE 104",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242646",
"telephone_number": "716-671-2130",
"fax_number": "716-671-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 ORCHARD PARK RD",
"address_2": "BUILDING A SUITE 104",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242646",
"telephone_number": "716-671-2130",
"fax_number": "716-671-5346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR.MARK S. ST.MARIE PHYSICIAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A",
"authorized_official_last_name": "DELMONTE",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "MARGARET",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "716-671-2130",
"authorized_official_credential": "MEDICAL ASSISTANT"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NY",
"license": "1363121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.