Mark W. Izard, M.D. P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

010196 Issued in CT

Legal business name

MARK W. IZARD, M.D. P.C.

Practice address

85 Seymour St.
Suite 901
Hartford, CT 06106-5528

Phone

(860) 246-8861

Fax

(860) 724-4858

NPI assigned

Sep 3, 2009

Organization subpart

No

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

Authorized official

Name

Mark W. Izard, M.D.

Title

M.D./President

Phone

(860) 246-8861

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1154554483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST.",
            "address_2": "SUITE 901",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065528",
            "telephone_number": "860-246-8861",
            "fax_number": "860-724-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST.",
            "address_2": "SUITE 901",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065528",
            "telephone_number": "860-246-8861",
            "fax_number": "860-724-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. IZARD, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "IZARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "860-246-8861",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "010196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001101963",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryne Stuart Marinchak, PSY.D.
• Angelo Giuseppe Marino, D.O.
• Frank J Marino, M.D.
• Marisol Acevedo Cruz LLC
• Mark R Silk, M.D., P.C.
• Nathan Daniel Mark, D.O.
• Harley B Markel, MD
• Matthew Marker, M.D.
• Emily Markham
• Irene C Markman, APRN

• Internal Medicine Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.