Individual provider Active NPI

Yvonne Mark, M.D., M.M.S.

  • Family Medicine Physician
  • Plainville, MA
National Provider Identifier
1366502973
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D60825 Issued in MD
Practice address
60 Messenger St Ste 204
Plainville, MA 02762-2258
Phone
(508) 695-2099
Fax
(508) 695-5099
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 271154 MA
Family Medicine Physician 207Q00000X D60825 MD Primary

Addresses

Primary practice location

60 Messenger St Ste 204
Plainville, MA 02762-2258

Mailing address

60 Messenger St Ste 204
Plainville, MA 02762-2258
Phone (508) 695-2099

Other practice location 1

3400 N Charles St
Jhu SHWC Amr2
Baltimore, MD 21218-2608
Phone (410) 516-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D60825MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Student Health and Wellness Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366502973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MESSENGER ST STE 204",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622258",
            "telephone_number": "508-695-2099",
            "fax_number": "508-695-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MESSENGER ST STE 204",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622258",
            "telephone_number": "508-695-2099",
            "fax_number": "508-695-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 N Charles St",
            "address_2": "JHU SHWC AMR2",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212182608",
            "country_code": "US",
            "telephone_number": "410-516-8270",
            "fax_number": "410-516-4784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARK",
        "first_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "271154",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D60825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.