Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark William Guelzow, MD

Individual provider Family Medicine Physician · NPI 1124477484

Mark William Guelzow, MD is a Family Practice in Fayetteville, New York. Qualified in 2016, 10 years ago. Practices with Chs Physician Partners PC, a 747-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4101 Medical Center Dr Ste 1C
Fayetteville, NY 13066-6600
Phone: (315) 637-7878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 Prospect Ave, Syracuse, NY 13203-1807 — (315) 448-5536

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 301689 (NY)

Record details

NPI number1124477484
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESJuly 3, 2021
Certification dateJuly 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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