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

Mr. Mark Patrick Stephan, PA

Individual provider Surgical Physician Assistant · NPI 1699886614

Mr. Mark Patrick Stephan, PA is a Surgical Physician Assistant in Williamsville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

55 Spindrift Dr
Williamsville, NY 14221-7800
Phone: (716) 447-6310
Fax: (716) 775-6288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 010867 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10867

Record details

NPI number1699886614
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 9, 2014

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