Individual provider Active NPI

Mary Palte-Knapke, M.D.

  • Emergency Medicine Physician
  • Saint Marys, OH
National Provider Identifier
1982615167
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-063793 Issued in OH
Practice address
200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone
(419) 394-3335
Fax
(419) 394-8485
NPI assigned
Aug 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-063793 OH Primary

Addresses

Primary practice location

200 Saint Clair Ave
Saint Marys, OH 45885-2400

Mailing address

1633 Fairway Dr
Lima, OH 45805-3846
Phone (419) 394-3335

Other identifiers 1

IdentifierTypeStateIssuer
0902689MedicaidOH

Other names 1

  • Mary Palte Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20090611000095 OH Practitioner - Emergency Medicine 5496805566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-063793OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center Current Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Jun 15, 2018 Accepting new patients
Blanchard Valley Regional Health Center Emergency Medicine CurrentSince Jun 15, 2018 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Dec 16, 2014 Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
Sidney Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982615167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 FAIRWAY DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053846",
            "telephone_number": "419-394-3335",
            "fax_number": "419-394-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-394-3335",
            "fax_number": "419-394-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALTE-KNAPKE",
        "first_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-063793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0902689",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PALTE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Marys, OH

Sources for this page

Verify at the official NPI Registry.