Christopher Mierek, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

258460 Issued in NY

Practice address

9040 Fitzsimmons Dr
Tacoma, WA 98431-1000

Phone

(315) 338-7000

NPI assigned

Jun 2, 2009

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upstate Ny Physician PLLCGroup PAC ID 4183164148, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Upstate Ny Physician PLLC

  • Emergency Medicine Physician
  • Amsterdam, NY
  • NPI 1487484523
  Medicare reassignment Care Compare group NPD
• Carondelet Regional Medical, PC

  • General Practice Physician
  • Broadalbin, NY
  • NPI 1861939944
  Medicare reassignment NPD
• Emergency Care Services of New York, P.C.

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1639236656
  Medicare reassignment NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment NPD
• St Marys Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1518926401
  Medicare reassignment NPD
• Wajeeh Sana Physician PC

  • Emergency Medicine Physician
  • Amsterdam, NY
  • NPI 1700643830
  Medicare reassignment NPD
• St. Mary's Healthcare

  dba Opioid Treatment Program

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Amsterdam, NY
  • NPI 1700636347
  NPD
• St. Mary's Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1811977796
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary's Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1811977796
  Care Compare affiliation

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1790911931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402844",
            "telephone_number": "315-338-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 FITZSIMMONS DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311000",
            "telephone_number": "315-338-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEREK",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "258460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Levi Middlebrook, PA-C
• Carol L Middleton
• Clara Middleton, RC
• Midland Chiropractic PLLC
• William Robert Miele, MD
• Jesse Lee Mierzwiak, MD
• Bianca Celeste Mifflin
• Jhoana Christie Miguel, APRN
• Amanda Jardin Mihail, NREMT-P
• Jeanette Mihaila

• Emergency Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.

Verify at the official NPI Registry.