Organization Active NPI

Mark Markarian, MD, LLC

  • Plastic Surgery Physician
  • Wellesley, MA
National Provider Identifier
1104211044
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
255422 Issued in MA
Legal business name
MARK MARKARIAN, MD, LLC
Practice address
25 Walnut St
Suite 400
Wellesley, MA 02481-2152
Phone
(781) 431-0002
Fax
(781) 237-2022
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Mark Markarian, MD
Title
Owner
Phone
(781) 431-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 255422 MA Primary

Addresses

Primary practice location

25 Walnut St
Suite 400
Wellesley, MA 02481-2152

Mailing address

25 Walnut St
Suite 400
Wellesley, MA 02481-2152
Phone (781) 431-0002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1104211044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WALNUT ST",
            "address_2": "SUITE 400",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812152",
            "telephone_number": "781-431-0002",
            "fax_number": "781-237-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WALNUT ST",
            "address_2": "SUITE 400",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812152",
            "telephone_number": "781-431-0002",
            "fax_number": "781-237-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MARKARIAN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "MARKARIAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-431-0002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "255422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.