NPIMap

Organization Active NPI

Mark Vonnegut, M.D., P.C.

  • Pediatric Adolescent Medicine Physician
  • Quincy, MA
National Provider Identifier
1285769844
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
MARK VONNEGUT, M.D., P.C.
Practice address
21 Totman St
Ste 2
Quincy, MA 02169-7564
Phone
(617) 745-0050
Fax
(617) 745-0052
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Kate Hall
Title
Office Manager
Phone
(617) 745-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

21 Totman St
Ste 2
Quincy, MA 02169-7564

Mailing address

21 Totman St
Ste 2
Quincy, MA 02169-7564
Phone (617) 745-0050

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: mingolelli.annemarie.mvp@direct.partners.masshiway.net
  • Direct secure messaging: neafsey.marcus.mvp@direct.partners.masshiway.net
  • Direct secure messaging: healey.barbara.mvp@direct.partners.masshiway.net
  • Direct secure messaging: davis.natalya.mvp@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1285769844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TOTMAN ST",
            "address_2": "STE 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697564",
            "telephone_number": "617-745-0050",
            "fax_number": "617-745-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TOTMAN ST",
            "address_2": "STE 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697564",
            "telephone_number": "617-745-0050",
            "fax_number": "617-745-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK VONNEGUT, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-745-0050"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.