Upper Valley Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

UPPER VALLEY PEDIATRICS

Practice address

331 Upper Plain
Bradford, VT 05033

Phone

(802) 222-4722

Fax

(802) 222-4709

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Steven Harris, MD

Title

Owner

Phone

(802) 222-4722

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1154483543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 UPPER PLAIN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "05033",
            "telephone_number": "802-222-4722",
            "fax_number": "802-222-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 UPPER PLAIN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "05033",
            "telephone_number": "802-222-4722",
            "fax_number": "802-222-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-222-4722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Marr Speck, PH.D.
• Sarah Stevens, PA-C
• Sharon Marie Sylvester, ETC
• Heather Toulmin, MA, MS
• Upper Valley Nutrition Services LLC
• Upper Valley Pediatrics, PLLC
• Valley Medical Associates LLC
• Valley View at Cottage Street, LLC
• Visionary Eye Associates LLC
• Dale Frances Walter

• All providers in Bradford, VT
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.