Individual provider Active NPI

Mark A Stever, RPA

  • Medical Physician Assistant
  • Syracuse, NY
National Provider Identifier
1710949433
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
009011 Issued in NY
Practice address
1000 E Genesee St Ste 500
Syracuse, NY 13210-1885
Phone
(315) 471-8388
Fax
(315) 471-8019
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 009011 NY
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X 009011 NY Primary

Addresses

Primary practice location

1000 E Genesee St Ste 500
Syracuse, NY 13210-1885

Mailing address

1000 E Genesee St Ste 500
Syracuse, NY 13210-1903
Phone (315) 471-8388

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000125 NY Practitioner - Physician Assistant 7618024050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zaki Badawy, MD PCGroup PAC ID 9234576844, 18 clinicians

Practice addresses (Care Compare)

5301 W Genesee St
Suite 50
Camillus, NY 13031-2238
Phone (315) 832-9867

5586 Legionnaire Dr
Suite 3
Cicero, NY 13039-3504
Phone (315) 632-6066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009011NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Medical PC Emergency Medicine Past Accepting new patients
Syracuse Orthopedic Specialists, PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1710949433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 500",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101903",
            "telephone_number": "315-471-8388",
            "fax_number": "315-471-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 500",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101885",
            "telephone_number": "315-471-8388",
            "fax_number": "315-471-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "009011",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.