Mark Andrew Knowles, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

NY1605-1 Issued in NY

Practice address

457 Gaffney Drive
Watertown, NY 13601-1834

Phone

(315) 779-2273

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mknowles@wuc.medentdirect.com

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.

• Watertown Urgent Care PLLC

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1194924134
  Medicare reassignment
• Mountain Medical of Watertown

  • Physician Assistant
  • Watertown, NY
  • NPI 1306068812
  NPD (past) Authorized official
• Edward John Noble Hospital of Gouverneur Ny

  dba Edward John Noble Hospital of Gouverneur

  • Rural Acute Care Hospital
  • Gouverneur, NY
  • NPI 1316940745
  NPD (past)
• Edward John Noble Hospital of Gouverneur Ny Swing Bed Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Gouverneur, NY
  • NPI 1215031885
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528167277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 GAFFNEY DRIVE",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011834",
            "telephone_number": "315-779-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 GAFFNEY DRIVE",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011834",
            "telephone_number": "315-779-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "NY1605-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Kline
• Tracy Nicole Klock, MS, OTR/L
• Marcus M Knapp, PA
• Wendde Donofrio Kneram, OTR
• Linda Knight, RN
• Marybeth Knowlton, CDN
• Ronald Knox, O.D.
• Ryan Christopher Knox, O.D.
• Thomas Edward Knudsen, PSY.D., ABBP
• Chelsea Marie Kolb, FNP-C

• Physician Assistant in Watertown, NY
• Providers in Watertown, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.