Individual provider Active NPI

Sarah Beth Martineck, RPAC

  • Surgical Physician Assistant
  • Williamsville, NY
National Provider Identifier
1902863764
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
005949-1 Issued in NY
Practice address
400 International Dr
Williamsville, NY 14221-5760
Phone
(716) 631-3555
Fax
(716) 631-9525
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 005949-1 NY Primary

Addresses

Primary practice location

400 International Dr
Williamsville, NY 14221-5760

Mailing address

140 Timberlink Dr
Grand Island, NY 14072-2178
Phone (716) 773-4866

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005949-1NYMDCommunity Health Worker
5949NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Spine Surgery, PLLC PastSince Sep 17, 2018 Accepting new patients

Organizations & group practices 1

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1902863764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TIMBERLINK DR",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722178",
            "telephone_number": "716-773-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INTERNATIONAL DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215760",
            "telephone_number": "716-631-3555",
            "fax_number": "716-631-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINECK",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "005949-1",
            "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 Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.