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MR. MARK PATRICK STEPHAN PA
NPI 1699886614
Physician Assistant - Surgical in Williamsville, NY

Active since August 31, 2006
55 SPINDRIFT DR, WILLIAMSVILLE, NY 14221(716) 447-6310(716) 775-6288 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mark Patrick Stephan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK PATRICK STEPHAN PA (NPI 1699886614) is an individual surgical provider in Williamsville, New York, licensed in New York (010867) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1699886614
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MARK PATRICK STEPHANCredential: PA
Location Address55 SPINDRIFT DRWilliamsville, NY 14221-7800
Mailing Address55 Spindrift DrWilliamsville, NY 14221-7800 · (716) 447-6310 · Fax (716) 775-6288
Phone(716) 447-6310
Fax(716) 775-6288
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 9, 2014
✔ NPI 1699886614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 010867
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10867
55 SPINDRIFT DR, Williamsville, NY 14221
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Other Identifiers 3

Medicaid03076359NY
Medicare UPINQ61885NY
Medicare PINPA1245NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID HAYES MD
Radiology (Diagnostic Radiology)
55 SPINDRIFT DR, WINDSONG RADIOLOGY GROUP, P.C.
WILLIAMSVILLE, NY 14221
Erie County (716) 631-2500
SARA FRITSCH PA
Physician Assistant
55 SPINDRIFT DR
WILLIAMSVILLE, NY 14221
Erie County (716) 626-6300
DR. STUART RUBIN MD
Radiology (Diagnostic Radiology)
55 SPINDRIFT DR
WILLIAMSVILLE, NY 14221
Erie County (716) 631-2500
DR. ANNA CHEN DO
Radiology (Diagnostic Radiology)
55 SPINDRIFT DR
WILLIAMSVILLE, NY 14221
Erie County (716) 631-2500
WINDSONG HEALTH MEDICAL ALLIANCE, PLLC
Surgery
55 SPINDRIFT DR
WILLIAMSVILLE, NY 14221
Erie County (716) 631-2500
MARIA KOMISSAROVA
Radiology (Diagnostic Radiology)
55 SPINDRIFT DR
WILLIAMSVILLE, NY 14221
Erie County (716) 631-2500
DR. THOMAS SUMMERS MD
Radiology (Diagnostic Radiology)
55 SPINDRIFT DR, WINDSONG RADIOLOGY GROUP, P.C.
WILLIAMSVILLE, NY 14221
Erie County (716) 631-2500
DR. JOYCE JANUS MD
Radiology (Diagnostic Radiology)
55 SPINDRIFT DR
WILLIAMSVILLE, NY 14221
Erie County (716) 631-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Stephan's NPI number?

The NPI number for Mark Stephan is 1699886614. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mark Stephan located?

Mark Stephan practices at 55 Spindrift Dr, Williamsville, NY 14221. The listed phone number is (716) 447-6310.

What is Mark Stephan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Mark Stephan was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.