Active NPI
Mark Stephen St Marie, MD
- Gastroenterology Physician
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 136312
- Practice address
- 111 N Maplemere Rd Ste 200
Williamsville, NY 14221-3182 - Phone
- (716) 626-2644
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 136312 | NY | Primary |
Addresses
Primary practice location
111 N Maplemere Rd Ste 200
Williamsville, NY 14221-3182
Mailing address
111 N Maplemere Rd Ste 200
Williamsville, NY 14221-3182
Phone (716) 626-2644
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
- Gastroenterology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 N Maplemere Rd
Suite 200
Williamsville, NY 14221-3182
Phone (716) 204-4532
Hospital & facility affiliations
- Sisters of Charity Hospital
- Mercy Hospital of Buffalo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients | |
| Buffalo Gastroenterology Associates, LLP | Specialist | Current | Accepting new patients |
Locations
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
260 Red Tail Rd
Orchard Park, NY 14127
Phone (716) 675-5711
888 Center Rd
West Seneca, NY 14224
Phone (716) 675-3530
111 N Maplemere Rd
Ste 200
Williamsville, NY 14221
Phone (716) 626-2644
Interoperability endpoints
- mstmarie@gppc.medentdirect.com
Organizations & group practices 4
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.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- Gastroenterology Physician
- Orchard Park, NY
- NPI 1811079296
Specialist
-
- Surgery Physician
- Buffalo, NY
- NPI 1992073571
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1629150792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N MAPLEMERE RD STE 200",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213182",
"telephone_number": "716-626-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N MAPLEMERE RD STE 200",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213182",
"telephone_number": "716-626-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST MARIE",
"first_name": "MARK",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2024-08-27",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "136312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.