Active NPI
Mark Anthony Damario, M.D.
- Reproductive Endocrinology Physician
- Saint Paul, MN
National Provider Identifier
1861429334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 39010
- Practice address
- 991 Sibley Memorial Hwy
Suite 100
Saint Paul, MN 55118-5113 - Phone
- (651) 379-3110
- Fax
- (651) 379-3111
- NPI assigned
- Jun 28, 2006
- Last updated
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 39010 | MN | |
| Reproductive Endocrinology Physician | 207VE0102X | 39010 | MN | Primary |
Addresses
Primary practice location
991 Sibley Memorial Hwy
Suite 100
Saint Paul, MN 55118-5113
Mailing address
991 Sibley Memorial Hwy
Suite 100
Saint Paul, MN 55118-5113
Phone (651) 379-3110
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1751675 | Other | MN | ARAZ |
| HP36573 | Other | MN | HEALTHPARTNERS |
| 34319900 | Medicaid | WI | |
| 07-00036 | Other | MN | MEDICA PRIMARY |
| 10387 | Medicaid | ND | |
| 335J6DA | Other | MN | BCBS |
| 117633 | Other | MN | UCARE |
| 7777470 | Medicaid | SD | |
| 0559732 | Medicaid | IA | |
| 07-03521 | Other | MN | MEDICA CHOICE |
| 1032946 | Other | MN | PREFERRED ONE |
| 0658191 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Reproductive Technologies PA | Reproductive Endocrinology | Past | Accepting new patients |
| Center for Reproductive Medicine PA | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Reproductive Endocrinology Physician
- Minneapolis, MN
- NPI 1275542573
-
- Reproductive Endocrinology Physician
- Minneapolis, MN
- NPI 1730113630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1861429334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 SIBLEY MEMORIAL HWY",
"address_2": "SUITE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551185113",
"telephone_number": "651-379-3110",
"fax_number": "651-379-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 SIBLEY MEMORIAL HWY",
"address_2": "SUITE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551185113",
"telephone_number": "651-379-3110",
"fax_number": "651-379-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMARIO",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "39010",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MN",
"license": "39010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "1751675",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP36573",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34319900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "07-00036",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10387",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "335J6DA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "117633",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7777470",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0559732",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "07-03521",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1032946",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0658191",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.