MR. MARK PATRICK STEPHAN PA NPI 1699886614

NPI Information

  • NPI: 1699886614
  • Provider Name: MR. MARK PATRICK STEPHAN, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 55 SPINDRIFT DR
    WILLIAMSVILLE, NY
    ZIP 14221
  • Phone: (716) 447-6310

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NPI Details

MR. Mark Patrick Stephan, PA is a surgical physician assistant in Williamsville, NY. MR. Mark Patrick Stephan, PA NPI is 1699886614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 SPINDRIFT DR
WILLIAMSVILLE, NY
ZIP 14221-800
Phone: (716) 447-6310
Fax: (716) 775-6288

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical10867No
2363AS0400XPhysician AssistantSurgical010867NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103076359MEDICAIDNEW YORK
2Q61885MEDICARE UPINNEW YORK
3PA1245MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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