Marian Leigh St. Petery, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO-797 Issued in AL

Practice address

71 Jackson St
Harpersville, AL 35078-4701

Phone

(205) 672-1002

Fax

(205) 672-1009

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Functional Medicine of Alabama, PC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1356567721
  Medicare reassignment NPD Authorized official
• Aye Unnoppet D.O., P.C.

  • Family Medicine Physician
  • Alabaster, AL
  • NPI 1578785762
  NPD (past)
• Management and Medical Services, LLC

  • Family Medicine Physician
  • Childersburg, AL
  • NPI 1952484081
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1811945280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 JACKSON ST",
            "city": "HARPERSVILLE",
            "state": "AL",
            "postal_code": "350784701",
            "telephone_number": "205-672-1002",
            "fax_number": "205-672-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 JACKSON ST",
            "city": "HARPERSVILLE",
            "state": "AL",
            "postal_code": "350784701",
            "telephone_number": "205-672-1002",
            "fax_number": "205-672-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. PETERY",
        "first_name": "MARIAN",
        "middle_name": "LEIGH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO-797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS#",
            "identifier": "515-27516",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS#",
            "identifier": "515-28701",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linley Green
• Harpersville Fire Department
• Harpersville Pharmacy
• Starla Y Jones, RN
• Sea Wright Speech Therapy

• Family Medicine Physician in Harpersville, AL
• Providers in Harpersville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
• 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.