Mark C. Stickney, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042-0007705 Issued in VT

Legal business name

MARK C. STICKNEY, MD, LLC

Practice address

3 Commons St
Rutland, VT 05701-4652

Phone

(802) 773-7155

NPI assigned

Jul 9, 2010

Last updated

Jul 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark StickneyNPI 1184633844

Title

M.D.

Phone

(802) 773-7155

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark C Stickney, M.D.

  • Internal Medicine Physician
  • Rutland, VT
  • NPI 1184633844
  NPD (past) Authorized official

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1295047967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COMMONS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COMMONS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014652",
            "telephone_number": "802-773-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C. STICKNEY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "STICKNEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "802-773-7155"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0007705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.